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NPI Code Detail

MEDICARE: JANE NELSON M.D., P.A.

MEDICARE: JANE NELSON M.D., P.A.
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
1174400000XSpecialistJ9238TX

General Provider Information

NPI Number : 1013195239
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANE NELSON M.D., P.A.
Provider Business Mailing Address
First Line : 6500 N MOPAC
Second Line : BUILDING 2, SUITE 2205
City : AUSTIN
State : TX
Zip : 78731-3131
Country : US
Telephone Number : 512-343-1878
Fax Number : 512-343-7809
Provider Business Practice Location Address
First Line : 6500 N MOPAC
Second Line : BUILDING 2, SUITE 2205
City : AUSTIN
State : TX
Zip : 78731-3131
Country : US
Telephone Number : 512-343-1878
Fax Number : 512-343-7809
Authorized Official
Title or Position : PRESIDENT
Name : DR. JANE CAROLYN NELSON
Credential : M.D.
Telephone Number : 512-343-1878
Provider Enumeration Date : 02/11/2008
Last Update Date : 02/11/2008

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