| Jackson Pk, Llc | |
|
9701 Brodie Ln Ste 202 Austin TX 78748-6284 | |
| (512) 326-2520 | |
| Not Available |
| Full Name | Jackson Pk, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9701 Brodie Ln Ste 202, Austin, Texas |
| Authorized Official Name and Position | Paul A Shrogin (CLINICIAN) |
| Authorized Official Contact | 8054783760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Pk, Llc 9701 Brodie Ln Ste 202 Austin TX 78748-6284 Ph: (512) 326-2520 | Jackson Pk, Llc 9701 Brodie Ln Ste 202 Austin TX 78748-6284 Ph: (512) 326-2520 |
| NPI Number | 1750867826 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 07/12/2018 |
| Medicare PECOS PAC ID | 0547518136 |
|---|---|
| Medicare Enrollment ID | O20180730000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750867826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13075 (Texas) | Primary |
| Provider Name | Paul Abram Shrogin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275907263 PECOS PAC ID: 1456609049 Enrollment ID: I20180730001031 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |