Healthcare Provider Details

I. General information

NPI: 1457565996
Provider Name (Legal Business Name): JASON GIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ASCENSION SETON WOMEN'S HOSPITAL 1201 W. 38TH STREET, NEONATAL ICU 7TH FLOOR
AUSTIN TX
78705
US

IV. Provider business mailing address

6007 JAYS LN
AUSTIN TX
78749-1325
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-1000
  • Fax:
Mailing address:
  • Phone: 303-257-2912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberW8844
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: