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NPI Code Detail

MEDICARE: MICHAEL A. JAIMES M.D.

MEDICARE:   MICHAEL A. JAIMES  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
12085R0204XVascular & Interventional Radiology PhysicianL6438TX
22085R0204XVascular & Interventional Radiology PhysicianLP01185RI
32085R0202XDiagnostic Radiology PhysicianME181562FL

General Provider Information

NPI Number : 1073715884
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A. JAIMES M.D.
Provider Business Mailing Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Provider Business Practice Location Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 06/18/2026

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Directions to “ MICHAEL A. JAIMES M.D.” Practice Location

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