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NPI Code Detail

MEDICARE: JESSICA LEE EFIRD MD

MEDICARE: JESSICA LEE EFIRD MD
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
1208600000XSurgery PhysicianT9388TX
22086S0129XVascular Surgery PhysicianT9388TX

General Provider Information

NPI Number : 1295391894
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEE EFIRD MD
Provider Business Mailing Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7390
Fax Number :
Provider Business Practice Location Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2019
Last Update Date : 05/05/2026

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