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NPI Code Detail

MEDICARE: DR. JAMES (JIMMY) KYLE MYERS PHD

MEDICARE:  DR. JAMES (JIMMY) KYLE MYERS  PHD
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
1101YP2500XProfessional Counselor18796TX

General Provider Information

NPI Number : 1790953941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES (JIMMY) KYLE MYERS PHD
Provider Business Mailing Address
First Line : 11754 JOLLYVILLE RD STE 110
Second Line :
City : AUSTIN
State : TX
Zip : 78759-3948
Country : US
Telephone Number : 512-331-2700
Fax Number :
Provider Business Practice Location Address
First Line : 11754 JOLLYVILLE RD STE 110
Second Line :
City : AUSTIN
State : TX
Zip : 78759-3948
Country : US
Telephone Number : 512-331-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2008
Last Update Date : 12/12/2025

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Directions to “ DR. JAMES (JIMMY) KYLE MYERS PHD” Practice Location

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