Organization
JEPSON MEDICAL AFFILIATES PA
Active
Other names
Integrative Sports and Wellness Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN JEPSON M.D. (PRESIDENT)
(512) 263-9961
Entity
Organization
Contact information
Practice address
11420 FM 2244, SUITE A-100, AUSTIN, TX 78738-5526
(512) 263-9961
(512) 263-9963
Mailing address
11420 FM 2244, SUITE A-100, AUSTIN, TX 78738-5526
(512) 263-9961
(512) 263-9963
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
03/29/2010
Last updated
03/30/2010
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