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Athulya Augustine, PA-C

Physician Assistant in Plano, TX. Individual provider (NPI-1).

NPI number1295442002
StatusActive
Last updated in NPPESJun 16, 2025

Details

NPI
1295442002
Entity type
Individual (NPI-1)
Name
Athulya Augustine
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 1, 2022
Certification date
Jun 16, 2025
Last updated
Jun 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA17738TXYes

Practice location

7601 Preston Rd
Plano, TX 75024-3214

Phone 469-303-7000 · Fax 469-303-7000

Mailing address

7609 Preston Rd Ste P1100
Plano, TX 75024-3415

Phone 214-456-2768

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