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Organization
JEPSON MEDICAL AFFILIATES PA
Active
Organization
JEPSON MEDICAL AFFILIATES PA
Active
Other names
Integrative Sports and Wellness Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN JEPSON M.D. (PRESIDENT)
(512) 263-9961
Entity
Organization
Contact information
Practice address
11420 FM 2244, SUITE A-100, AUSTIN, TX 78738-5526
(512) 263-9961
(512) 263-9963
Mailing address
11420 FM 2244, SUITE A-100, AUSTIN, TX 78738-5526
(512) 263-9961
(512) 263-9963
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
03/29/2010
Last updated
03/30/2010
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