Individual
JAY L VIERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD STE 300, AUSTIN, TX 78731-3146
(512) 346-8888
(512) 344-0365
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M3415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000302315
HMSA
HI
05
—
181242201
—
TX
05
—
181242202
—
TX
05
—
181242203
—
TX
05
—
P00378784
—
TX
Enumeration date
01/05/2006
Last updated
05/03/2021
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