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NPI Code Detail

MEDICARE: DR. NINA JO MUSE M.D.

MEDICARE:  DR. NINA JO MUSE  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
1323P00000XPsychiatric Residential Treatment FacilityF9865TX

General Provider Information

NPI Number : 1700071412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NINA JO MUSE M.D.
Provider Business Mailing Address
First Line : PO BOX 162563
Second Line :
City : AUSTIN
State : TX
Zip : 78716-2563
Country : US
Telephone Number : 512-328-6042
Fax Number :
Provider Business Practice Location Address
First Line : 1407 W STASSNEY LN
Second Line :
City : AUSTIN
State : TX
Zip : 78745-2947
Country : US
Telephone Number : 512-464-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 09/06/2007

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Directions to “ DR. NINA JO MUSE M.D.” Practice Location

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