Individual
MR. J. JAVIER PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L-SA
Contact information
Practice address
1910 W SAINT JOHNS AVE, AUSTIN, TX 78757-2241
(512) 467-0989
(512) 323-9703
Mailing address
PO BOX 9205, AUSTIN, TX 78766-9205
(512) 467-0989
(512) 323-9703
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SA00280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032LF
BCBS
TX
Enumeration date
03/07/2007
Last updated
07/08/2007
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