J. Javier Palacios, L-SA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

SA00280 Issued in TX

Practice address

1910 W Saint Johns Ave
Austin, TX 78757-2241

Phone

(512) 467-0989

Fax

(512) 323-9703

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174653141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787669205",
            "telephone_number": "512-467-0989",
            "fax_number": "512-323-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W SAINT JOHNS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572241",
            "telephone_number": "512-467-0989",
            "fax_number": "512-323-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "J.",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "L-SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "SA00280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032LF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda M Pak, O.D.
• Rutit Pak, DO
• Olivia Pakula, MD
• Hoimonti Pal, M.ED, LPC
• Dawn Palacios
• Johnna Palacios
• Jose L. Palacios Jr., OTR
• Kayla A Palacios
• Lynda Palacios
• Marco Palacios, D.C.

• Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.