MEDICARE: JEFFREY ALBERT ASTBURY 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
1	207R00000X	Internal Medicine Physician	J3967	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	84Y714	OTHER	TX	BCBS
2	8BR063	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588607709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY ALBERT ASTBURY M.D.

Provider Business Mailing Address
First Line	:	516 FOREST EDGE LN
Second Line	:
City	:	OVILLA
State	:	TX
Zip	:	75154-1642
Country	:	US
Telephone Number	:	214-478-9637
Fax Number	:	214-241-4829

Provider Business Practice Location Address
First Line	:	1000 LEGACY RANCH RD
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-1293
Country	:	US
Telephone Number	:	877-868-2528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/19/2025

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