Individual
DR. JESSICA ANNE CZUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12005 BEE CAVES RD STE 2A, AUSTIN, TX 78738-6389
(512) 225-0766
Mailing address
12005 BEE CAVES RD STE 2A, AUSTIN, TX 78738-6389
(512) 225-0766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10029679
TX
208000000X
Pediatrics Physician
Primary
N5888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4661837321
MYUTMB 4661837321
—
Enumeration date
08/05/2007
Last updated
09/25/2019
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