MEDICARE: MED 2 YOU LLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1922474279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED 2 YOU LLC

Provider Business Mailing Address
First Line	:	815A BRAZOS ST # 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-2502
Country	:	US
Telephone Number	:	512-900-3722
Fax Number	:

Provider Business Practice Location Address
First Line	:	815-A BRAZOS 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3851
Country	:	US
Telephone Number	:	512-270-7007
Fax Number	:

Authorized Official
Title or Position	:	COO & GENERAL COUNSEL
Name	:	GRIFFIN MULCAHEY
Credential	:	JD
Telephone Number	:	217-369-3293

Provider Enumeration Date	:	08/20/2015
Last Update Date	:	04/05/2016

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Directions to “MED 2 YOU LLC ” Practice Location

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