Organization
JEFF E HAGEN MD
Active
Other names
Austin OB/Gyn
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF E HAGEN M.D. (OWNER)
(512) 304-0318
Entity
Organization
Contact information
Practice address
18810 HWY 290 E, SUITE 100, ELGIN, TX 78621-4240
(512) 285-3300
(512) 308-9649
Mailing address
301 HIGHWAY 71 W, SUITE111, BASTROP, TX 78602-4105
(512) 308-0318
(512) 308-9649
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
G3424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FN79
BLUE CROSS
TX
05
—
041869104
—
TX
Enumeration date
02/20/2013
Last updated
02/20/2013
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