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Individual

DR. JASON DENNIS ZAGRODZKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4316 JAMES CASEY BLDG, C, SUITE 201, AUSTIN, TX 78745
(512) 381-0170
(512) 381-0171
Mailing address
4316 JAMES CASEY BLDG, C, SUITE 201, AUSTIN, TX 78745
(512) 381-0170
(512) 381-0171

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J4632
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
J4632
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060057052
MEDICARE RAILROAD
TX
05
129973703
TX
05
129973707
TX
05
129973711
TX
05
129973712
TX
05
129973714
TX
05
129973719
TX
01
8CU397
BCBS
TX
01
P01050560
RAILROAD MEDICARE
TX
Enumeration date
12/12/2005
Last updated
06/22/2022
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