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NPI Code Detail

MEDICARE: DR. JOBETH AUGUSTYNIAK D.O.

MEDICARE: DR. JOBETH AUGUSTYNIAK D.O.
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
1207Q00000XFamily Medicine PhysicianBP10059384TX
2207Q00000XFamily Medicine PhysicianR8860TX

General Provider Information

NPI Number : 1396273066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOBETH AUGUSTYNIAK D.O.
Provider Business Mailing Address
First Line : 2914 TULIP DR
Second Line :
City : SHERMAN
State : TX
Zip : 75092-3639
Country : US
Telephone Number : 903-647-4511
Fax Number : 903-209-2962
Provider Business Practice Location Address
First Line : 1400 N COIT RD STE 302
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-6656
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2017
Last Update Date : 06/07/2026

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