Organization
JEFF E. HAGEN MD
Active
Other names
Austin OBGYN Bastrop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF E HAGEN M.D. (OWNER)
(512) 304-0318
Entity
Organization
Contact information
Practice address
301 HIGHWAY 71 W, SUITE 111, BASTROP, TX 78602-4105
(521) 304-0318
(512) 308-9649
Mailing address
301 HIGHWAY 71 W, SUITE 111, BASTROP, TX 78602-4105
(521) 304-0318
(512) 308-9649
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041869104
—
TX
Enumeration date
05/22/2013
Last updated
05/22/2013
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