Provider Demographics
NPI:1528626017
Name:AUSTIN, ROZLYN (PA-C)
Entity type:Individual
Prefix:
First Name:ROZLYN
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 S ONG ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-2247
Mailing Address - Country:US
Mailing Address - Phone:903-449-7424
Mailing Address - Fax:
Practice Address - Street 1:2204 S ONG ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-2247
Practice Address - Country:US
Practice Address - Phone:903-449-7424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant