JEFFERSON STREET FAMILY PRACTICE

AUSTIN, TX
NPI1871690040
Entity TypeOrganization
Authorized ContactAJAY KUMAR GUPTA
President
512-458-3185
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
JEFFERSON STREET FAMILY PRACTICE
1101 W 40TH ST
AUSTIN, TX 78756-3609
Phone number: 512-459-4147
Mailing Address
JEFFERSON STREET FAMILY PRACTICE
1101 W 40TH ST
AUSTIN, TX 78756-3609
Phone number: 512-459-4147
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