Individual provider · Type 1 NPI

Maxwell Costa Tague, MD

Family Medicine Physician · Louisville, KY

NPI number 1932859873 Active

Practice location

210 E Gray St Ste 700
Louisville, KY 40202-3903

Call (502) 629-5400 Map

Fax (502) 629-5492

Mailing address

PO Box 776351
Chicago, IL 60677-6879

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X61274 (KY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1932859873

Maxwell Costa Tague, MD's National Provider Identifier is 1932859873, issued on Mar 24, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 29, 2026.