Individual
DR. JAYNE SUZANNE TRUCKENBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P7718
TX
208M00000X
Hospitalist Physician
Primary
P7718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328476201
—
TX
05
—
328476202
—
TX
05
—
328476203
—
TX
Enumeration date
08/05/2007
Last updated
10/15/2018
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