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Individual

JENNIFER L. MUSHTALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12201 RENFERT WAY, SUITE 325, AUSTIN, TX 78758-5354
(512) 836-2536
(512) 284-8063
Mailing address
12201 RENFERT WAY, SUITE 325, AUSTIN, TX 78758-5354
(512) 836-2536
(512) 284-8063

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L1141
TX
207V00000X
Obstetrics & Gynecology Physician
MD00041045
WA

Other

Enumeration date
10/25/2005
Last updated
03/09/2011
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