Basic Information
Provider Information
NPI: 1649353509
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AULER
FirstName: MARK
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12554 RIATA VISTA CIR
Address2:  
City: AUSTIN
State: TX
PostalCode: 787276431
CountryCode: US
TelephoneNumber: 5127955100
FaxNumber: 5127955122
Practice Location
Address1: 12554 RIATA VISTA CIR
Address2:  
City: AUSTIN
State: TX
PostalCode: 787276431
CountryCode: US
TelephoneNumber: 5127955100
FaxNumber: 5127955122
Other Information
ProviderEnumerationDate: 10/23/2006
LastUpdateDate: 01/12/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085N0700X37396AZY Allopathic & Osteopathic PhysiciansRadiologyNeuroradiology
2085R0202X25250SCN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home