Austin Puente, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Edwards, CA
NPI 1184047144 · NPPES record last updated Jan 28, 2014
Key facts
- NPI
- 1184047144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 1069 Butler Dr
Edwards, CA 93523-2622 - Phone
- (832) 465-8000
- NPI assigned
- Jan 28, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
1069 Butler Dr
Edwards, CA 93523-2622
Mailing address
1069 Butler Dr
Edwards, CA 93523-2622
Other providers in Edwards, CA
- Franklin Miranda
- Cheyenne E Monroe-Backus
- David George Morrison Jr.
- Tracy Adell Neal-Walden
- Rebecca Michelle Orr
- Carolina Ramirez
- Harry Mark Richter
- Tamara Hopper Shoulders
- Ahjonae Oriana Simpson
- Terry Lee Coryell Stotler
All providers in Edwards, CA · Independent Duty Medical Technicians in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.