Jack Moncrief Group, Pa
Pediatric Nephrology
Jack Moncrief Group, Pa is a Austin, Texas based Pediatric center with medical specialization in
Pediatric Nephrology.
It is located at
800 West 34th Street, Suite 101, Austin, Texas - 78705. They can be contacted on phone at
512-485-7870 and fax number 512-485-7876.
NPI number (Unique professional ID) for Jack Moncrief Group, Pa is
1194053496 which was assigned by NPPES on 24 Nov, 2009 and it was last updated on 24 Nov, 2009.
Jack Moncrief Group, Pa deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Jack Moncrief Group, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Jack Moncrief Group, Pa |
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Business Address:
Jack Moncrief Group, Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 West 34th Street, Suite 101
Austin, TX, 78705
United States |
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| Phone Number : | 512-485-7870 |
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| Fax Number : | 512-485-7876 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194053496 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Nov, 2009 |
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| Last Updated On : | 24 Nov, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jackwesly Moncrief |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 512-485-7870 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Moncrief Group, Pa are as mentioned. Primary taxonomy code for Jack Moncrief Group, Pa is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Jack Moncrief Group, Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1311987-04 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 800 West 34th Street, Suite 101
Austin, TX, 78705
United States |
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| Phone Number : | 512-485-7870 |
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| Fax Number : | 512-485-7876 |
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Business Location:
Patients can refer following map for directions to
Jack Moncrief Group, Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.