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NPI Code Detail

MEDICARE: DR. JOY NIELSEN M.D.

MEDICARE: DR. JOY NIELSEN 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
1208800000XUrology PhysicianM8874TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00673013OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083618706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOY NIELSEN M.D.
Provider Business Mailing Address
First Line : 12221 N MO PAC EXPY
Second Line :
City : AUSTIN
State : TX
Zip : 78758-2401
Country : US
Telephone Number : 512-901-4021
Fax Number : 512-901-3921
Provider Business Practice Location Address
First Line : 12221 N MO PAC EXPY
Second Line :
City : AUSTIN
State : TX
Zip : 78758-2401
Country : US
Telephone Number : 512-901-4021
Fax Number : 512-901-3921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 02/25/2013

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Directions to “ DR. JOY NIELSEN M.D.” Practice Location

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