Debra Lynn Autry, LVN
Licensed Practical Nurse in Austin, TX. Individual provider (NPI-1).
NPI number1194199604
StatusActive
Last updated in NPPESNov 20, 2015
Details
- NPI
- 1194199604
- Entity type
- Individual (NPI-1)
- Name
- Ms. Debra Lynn Autry
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2015
- Last updated
- Nov 20, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 137953 | TX | Yes |
Practice location
6222 N Lamar BlvdAustin, TX 78752-4004
Phone 512-472-4357 · Fax 512-703-1390
Mailing address
913 Washburn DrLeander, TX 78641-8360
Phone 512-466-3320
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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