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NPI Code Detail

MEDICARE: DR. JOSE BAYONA M.D.

MEDICARE: DR. JOSE BAYONA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK5804TX

General Provider Information

NPI Number : 1578508123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE BAYONA M.D.
Provider Business Mailing Address
First Line : 825 E RUNDBERG LN STE B1
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4860
Country : US
Telephone Number : 512-978-9600
Fax Number : 512-978-9601
Provider Business Practice Location Address
First Line : 825 E RUNDBERG LN STE B1
Second Line :
City : AUSTIN
State : TX
Zip : 78753-4860
Country : US
Telephone Number : 512-978-9600
Fax Number : 512-978-9601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 08/28/2015

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Directions to “ DR. JOSE BAYONA M.D.” Practice Location

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