Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | LL32699 | SC |
Y | 2080P0204X | Pediatric Emergency Doctor | S5223 | TX |
NPI | 1275853277 |
---|---|
Provider Name | Dr. Jillian Mcadams |
First Address | Austin, TX 78749-3246 |
Second Address | Round Rock, TX 78681-4228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 12/01/2022 |