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Individual

JASON METCALFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPSGT

Contact information

Practice address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
(510) 996-2688
Mailing address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
(510) 996-2688

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
19983
246Z00000X
Other Specialist/Technologist
19983

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19983
BOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS
Enumeration date
09/01/2020
Last updated
09/01/2020
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