SearchMaryland171100000X

Thomas Austin-Braxton, LAC., MAC

NPI 1164109815 · on the registry since 2023 · sole proprietor

Practice

Address
11350 Mccormick Rd Ste 800
Hunt Valley, MD 21031
Phone
(410) 800-2169
Organisation at this address
Trijay Llc
Longjuve Pc
K2 Psych Services
Revive Medspa Llc
Richcroft Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland