# JEPSON MEDICAL AFFILIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Sports and Wellness Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396060711
- **Authorized official:** DR. BRYAN JEPSON M.D. (PRESIDENT)
- **Authorized official phone:** (512) 263-9961

## Contact information

- **Practice address:** 11420 FM 2244, SUITE A-100, AUSTIN, TX 78738-5526
- **Practice address phone:** (512) 263-9961
- **Practice address fax:** (512) 263-9963
- **Mailing address:** 11420 FM 2244, SUITE A-100, AUSTIN, TX 78738-5526
- **Mailing address phone:** (512) 263-9961
- **Mailing address fax:** (512) 263-9963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 03/30/2010