| Jolly, P.c. | |
|
823 Congress Ave Ste 1200 Austin TX 78701-2402 | |
| (888) 813-0218 | |
| Not Available |
| Full Name | Jolly, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 823 Congress Ave Ste 1200, Austin, Texas |
| Authorized Official Name and Position | Brantley Tilman Jolly (PRESIDENT/OWNER) |
| Authorized Official Contact | 8554223855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolly, P.c. 823 Congress Ave Ste 1200 Austin TX 78701-2402 Ph: (888) 813-0218 | Jolly, P.c. 823 Congress Ave Ste 1200 Austin TX 78701-2402 Ph: (888) 813-0218 |
| NPI Number | 1891552907 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 4183164460 |
|---|---|
| Medicare Enrollment ID | O20240913000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891552907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Akayla Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700178720 PECOS PAC ID: 4385865229 Enrollment ID: I20141018000109 |
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