Muddamalle J Augustine MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G6261 Issued in TX

Legal business name

MUDDAMALLE J AUGUSTINE MD PA

Practice address

912 Wright St
Suite E
Arlington, TX 76012-4759

Phone

(817) 861-6464

Fax

(817) 861-7900

NPI assigned

Nov 30, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Muddamalle J Augustine, MD

Title

President

Phone

(817) 861-6464

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jiaul Ahsan, MD

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1114956877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1497022834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WRIGHT ST",
            "address_2": "SUITE E",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124759",
            "telephone_number": "817-861-6464",
            "fax_number": "817-861-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WRIGHT ST",
            "address_2": "SUITE E",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124759",
            "telephone_number": "817-861-6464",
            "fax_number": "817-861-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDDAMALLE J AUGUSTINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "MUDDAMALLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-861-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G6261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MRI Centers of Texas LLC-Arlington Series
• Ms & N International, Inc
• MSPF II Arlington Oe, L.P.
• MSW Chiropractic Clinic PLLC
• MTN Dental Group Corporation
• Comfort Mudoh, CNM, FNP-C
• Teresa Muhammad
• Cemetrice Muhammed, APRN
• Paige Muhl
• Gopi Sairam Reddy Mulaka, MD

• Primary Care Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.