Provider Demographics
NPI:1184649824
Name:AUSTIN, JEFFREY SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2021 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 520
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2219
Mailing Address - Country:US
Mailing Address - Phone:972-251-2388
Mailing Address - Fax:972-251-2390
Practice Address - Street 1:2021 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 520
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2222
Practice Address - Country:US
Practice Address - Phone:972-251-2388
Practice Address - Fax:972-251-2390
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL3915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153005701Medicaid
TX8G0321OtherBCBS
TX110239804OtherRR MEDICARE
H65202Medicare UPIN
TX8G0321OtherBCBS