Basic Information
| Provider Information | |||||||||
| NPI: | 1285899898 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE AUSTIN CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2277 WEST ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381385961 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017534543 | ||||||||
| FaxNumber: | 9017537081 | ||||||||
| Practice Location | |||||||||
| Address1: | 2277 WEST ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381385961 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017534543 | ||||||||
| FaxNumber: | 9017532827 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2008 | ||||||||
| LastUpdateDate: | 08/06/2013 | ||||||||
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| AuthorizedOfficialLastName: | AUSTIN | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9017534543 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XP3100X | 27207 | TN | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Pediatric Orthopaedic Surgery |
No ID Information.