Organization
JEFF E. HAGEN, M.D.
Active
Other names
Austin OB/Gyn
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HAGEN M.D. (SOLE PROPIETOR)
(512) 304-0318
Entity
Organization
Contact information
Practice address
2410 E RIVERSIDE DR, SUITE G-2, AUSTIN, TX 78741-3083
(512) 445-4800
(512) 308-9649
Mailing address
301 HIGHWAY 71 W, SUITE 111, BASTROP, TX 78602-4105
(512) 304-0318
(512) 308-9649
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G3424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FN79
BLUE CROSS PROVIDER NUMBE
—
05
—
041869104
—
TX
Enumeration date
03/15/2007
Last updated
02/20/2013
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