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NPI Code Detail

MEDICARE: JEFFREY T. YOUNGKIN, M.D. ASSOCIATED

MEDICARE: JEFFREY T. YOUNGKIN, M.D. ASSOCIATED
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
1207V00000XObstetrics & Gynecology PhysicianF2133TX

General Provider Information

NPI Number : 1447235536
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY T. YOUNGKIN, M.D. ASSOCIATED
Provider Business Mailing Address
First Line : 805 E 32ND ST
Second Line : SUITE 201
City : AUSTIN
State : TX
Zip : 78705-2537
Country : US
Telephone Number : 512-478-3188
Fax Number :
Provider Business Practice Location Address
First Line : 805 E 32ND ST
Second Line : SUITE 201
City : AUSTIN
State : TX
Zip : 78705-2537
Country : US
Telephone Number : 512-478-3188
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY THOMAS YOUNGKIN
Credential : M.D.
Telephone Number : 512-478-3188
Provider Enumeration Date : 12/12/2005
Last Update Date : 01/29/2008

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Directions to “JEFFREY T. YOUNGKIN, M.D. ASSOCIATED ” Practice Location

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