Individual
JASON M POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1004 W 32ND ST, STE 400, AUSTIN, TX 78705-1915
(512) 454-5171
(512) 454-0704
Mailing address
1004 W 32ND ST, STE 400, AUSTIN, TX 78705-1915
(512) 454-5171
(512) 454-0704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05014
TX
Other
Enumeration date
01/16/2007
Last updated
07/15/2022
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