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Contact Information

JACLYN A BOOZALIS, MD
1108 LAVACA ST STE 110-320
AUSTIN, TX78701-2172
 Phone: 512-477-4088
 Fax: 512-482-0390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACLYN A BOOZALIS · (Female)

NPI Number 1922620418
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2020
Last updated 09/05/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • RI License # MD19826
  • TX License # U2442
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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