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EAGAN MEDICAL GROUP INC NPI 1265995401


NPI Information

NPI: 1265995401
Provider Name: EAGAN MEDICAL GROUP INC

Doing Business As: EAGAN MEDICAL GROUP OF TEXAS

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
8140 N MOPAC EXPY STE 150
AUSTIN, TX
ZIP 78759
Phone: (833) 766-5613
Get Directions

EAGAN MEDICAL GROUP INC is a psychiatry psychiatry neurology in Austin, TX. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EAGAN MEDICAL GROUP INC NPI is 1265995401. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Eagan Medical Group Of Texas.

The provider's business location address is:

8140 N MOPAC EXPY STE 150
AUSTIN, TX
ZIP 78759-837
Phone: (833) 766-5613
Fax: (512) 535-1413

The provider's authorized official is Breanna Splain .
The authorized official title is Administrator and has the following contact phone number (714) 369-8037.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 4/27/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
22084P0800XPsychiatry & NeurologyPsychiatryYes
3261QM0850XClinic/CenterAdult Mental HealthNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G67163OTHERCALIFORNIAMEDICAL LICENSE

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: 4/28/2024

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