Individual
JARED TRUSTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12300 INNES VIEW RD, AUSTIN, TX 78754-6023
(512) 579-8148
Mailing address
12300 INNES VIEW RD, AUSTIN, TX 78754-6023
(512) 579-8148
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
157273
TX
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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