Everly Provider Group Ak

LBN: Jolly, P.C.
Everly Provider Group Ak is an health care organization with primary practice located at 823 Congress Ave Ste 1200 , Austin TX 78701-2402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Jolly, P.C. can be contacted via phone (888) 813-0218, or through Jolly, Brantley Tilman via phone (855) 422-3855.

Contact Information

Primary practice address
823 Congress Ave Ste 1200 Austin TX 78701-2402
Phone: (888) 813-0218
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jolly, Brantley Tilman Doctor of Medicine (MD)
Phone: (855) 422-3855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1891552907
LBN Legal business name Jolly, P.C.
DBA Doing business as Everly Provider Group Ak
Authorized official Jolly, Brantley Tilman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2024
Last updated Jun 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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