Basic Information
| Provider Information | |||||||||
| NPI: | 1780066191 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NAST | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | RUDYARD | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 MARYLAND FARMS STE 200 | ||||||||
| Address2: | |||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370275780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153455400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2301 ROBERT BROWNING ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787233489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153455400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2015 | ||||||||
| LastUpdateDate: | 12/20/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AU 3026 | CA | N | Speech, Language and Hearing Service Providers | Audiologist | 246ZE0600X | N | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic | 231H00000X | 80999 | TX | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.