Jacque Angerstein, DO, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K7623 Issued in TX

Legal business name

JACQUE ANGERSTEIN, DO, PA

Practice address

2765 Bee Caves Rd Ste 201
Austin, TX 78746-5640

Phone

(512) 328-3311

Fax

(512) 328-2751

NPI assigned

Dec 16, 2005

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacque Angerstein

Title

Doctor

Phone

(512) 328-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386620797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 LOST CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351461",
            "telephone_number": "512-328-3111",
            "fax_number": "512-328-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 BEE CAVES RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465640",
            "telephone_number": "512-328-3311",
            "fax_number": "512-328-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUE ANGERSTEIN, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ANGERSTEIN",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "512-328-3311"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS ID",
            "identifier": "0058PW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166196901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Jacobson, M.D.
• Kendal Jacobson, PT, ATC, LMT
• Tatiana B. Jacobson, M.D.
• Amanda Jacot, PHARM.D
• Caitlin Jacowski, M.D.
• James Oliver Jacques, DC
• Jordan Jacquez, MD
• Vidhi Jadeja, M.D.
• Logan Jaeger
• Jon E. Jaffe, M.D.

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.