Tessa Austin, MD
Student in an Organized Health Care Education/Training Program in Wichita, KS. Individual provider (NPI-1).
NPI number1891314126
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1891314126
- Entity type
- Individual (NPI-1)
- Name
- Tessa Austin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 207L00000X | Anesthesiology | 94-11459 | KS |
Practice location
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2665
Mailing address
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2665
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