Jefferson Street Family Practice
Jefferson Street Family Practice provides Family Medicine Physician services in Austin, Texas. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1101 W 40th StAustin, TX 78756-3609
Phone: (512) 459-4147
Fax: (512) 459-9134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1871690040 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ajay Gupta — President · (512) 458-3185 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1101 W 40th St, Austin, TX 78756-3609 |
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