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NPI Code Detail

MEDICARE: DR. JOEL TODD GAGE MD

MEDICARE:  DR. JOEL TODD GAGE  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
1207RI0011XInterventional Cardiology PhysicianK5298TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00050190OTHERTXMEDICARE RAILROAD

Other Identifiers

General Provider Information

NPI Number : 1801882907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL TODD GAGE MD
Provider Business Mailing Address
First Line : 5301 RIATA PARK CT
Second Line : BLDG D SUITE 200
City : AUSTIN
State : TX
Zip : 78727-3437
Country : US
Telephone Number : 512-617-6000
Fax Number : 512-615-0459
Provider Business Practice Location Address
First Line : 7215 WYOMING SPRINGS DR
Second Line : BLDG 1 SUITE 100
City : ROUND ROCK
State : TX
Zip : 78681-4312
Country : US
Telephone Number : 512-617-6000
Fax Number : 512-615-9908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 01/27/2022

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Directions to “ DR. JOEL TODD GAGE MD” Practice Location

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