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Contact Information

JERRY D VANDEL, MD
6835 AUSTIN CENTER BLVD
AUSTIN, TX78731
 Phone: 512-346-6611
 Fax: 512-406-7315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JERRY D VANDEL · (Male)

NPI # 1588699466
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 12/06/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # F2979
  • TX Medicaid 100015003
  • TX Medicaid 100015004
  • TX Other 00RX33 BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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