Provider Demographics
NPI:1861417958
Name:CARUSO, ANTHONY C (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:C
Last Name:CARUSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 E HWY 290 STE 240
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1144
Mailing Address - Country:US
Mailing Address - Phone:512-344-0450
Mailing Address - Fax:512-406-7318
Practice Address - Street 1:6818 AUSTIN CENTER BLVD STE 205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3100
Practice Address - Country:US
Practice Address - Phone:512-344-0450
Practice Address - Fax:512-406-7318
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT3597207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA060023915OtherRAILROAD MEDICARE
VA50747OtherANTHEM
VA522462OtherUNITED HEALTHCARE
VA535920OtherAETNA
VA006022782Medicaid
VA0737590OtherCIGNA
VA060000600Medicare ID - Type Unspecified
VA0737590OtherCIGNA