Sandefur, Justin K

Sandefur, Justin K is an sole proprietor health care provider with primary practice located at 4900 Mueller Blvd , Austin TX 78723-3079. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Sandefur, Justin K can be contacted via phone (512) 324-0515.

Contact Information

Primary practice address
4900 Mueller Blvd Austin TX 78723-3079
Phone: (512) 324-0515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X AP139467 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP139467 Texas

Profile Details

NPI number 1497222400
LBN Legal business name Sandefur, Justin K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2018
Last updated Mar 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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