Individual
DR. JESSIE ALEXANDRA BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, L.AC.
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0101
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01498
TX
2084P0800X
Psychiatry Physician
Primary
T4708
TX
2084P0804X
Child & Adolescent Psychiatry Physician
T4708
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10072954
TX
Other
Enumeration date
01/04/2014
Last updated
04/04/2025
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