Jerry Dean Vandel in Austin - Internal Medicine
Jerry Dean Vandel - NPI 1588699466
Jerry Dean Vandel is a Internal Medicine in Austin, Texas. Jerry Dean Vandel practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry Dean Vandel is 1588699466. The last update date is 2019-12-06.
Jerry Dean Vandel's current location address is 6835 Austin Center Blvd, Austin, Texas. You can contact this provider via phone number 5123466611 and fax number 5124067315. The mailing address for Jerry Dean Vandel is 6835 Austin Center Blvd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Dean Vandel |
|---|---|
| Address | 6835 Austin Center Blvd, Austin, Texas |
| Phone Number | 5123466611 |
| Fax Number | 5124067315 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588699466 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2019-12-06 |
Provider Mailing Address Detail
| Address | 6835 Austin Center Blvd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 78731 |
| Phone Number | 5123466611 |
| Fax Number | 5124067315 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | F2979 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00RX33 | TX | BC/BS | |
| 100015003 | TX | -- | |
| 100015004 | TX | -- |
Post Comment/ Review Below
What is the Jerry Dean Vandel's 1588699466?
The Jerry Dean Vandel's NPI (National Provider Identifier) Number is 1588699466. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jerry Dean Vandel is geographically located?
The Jerry Dean Vandel is physically situated at the following location: 6835 Austin Center Blvd, Austin, TX, 78731.
What is the Jerry Dean Vandel's specialty and taxonomy code?
The Jerry Dean Vandel's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588699466 to Jerry Dean Vandel?
The Centers for Medicare & Medicaid Services originally issued the 1588699466 to Jerry Dean Vandel on 2006-07-11.
When was the information pertaining to Jerry Dean Vandel most recently updated or revised?
The details related to Jerry Dean Vandel, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-06.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX