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LISA M. JUKES MD PA NPI 1073739090


NPI Information

NPI: 1073739090
Provider Name: LISA M. JUKES, MD, PA
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
5656 BEE CAVE RD
SUITE B101
WEST LAKE HILLS, TX
ZIP 78746
Phone: (512) 301-6767
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LISA M. JUKES, MD, PA is a gynecology obstetrics gynecology in West Lake Hills, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee LISA M. JUKES, MD, PA NPI is 1073739090. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5656 BEE CAVE RD
SUITE B101
WEST LAKE HILLS, TX
ZIP 78746-280
Phone: (512) 301-6767
Fax: (512) 301-6776

The provider's authorized official is Lisa Margaret Jukes .
The authorized official title is Owner, Physician and has the following contact phone number (512) 301-6767.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 5/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsK6767TEXASNo
2207VG0400XObstetrics & GynecologyGynecologyK6767TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18B3224MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE INDIVIDUAL
2286813OTHERTEXASSCOTT & WHITE
3=========OTHERTEXASTAX ID
40008KPOTHERTEXASBCBS GROUP
58K1560OTHERTEXASBCBS INDIVIDUAL
600135WMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE GROUP
7H24245MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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