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JOEL GOTVALD PA NPI 1780902932


NPI Information

NPI: 1780902932
Provider Name: JOEL GOTVALD, PA

Doing Business As: AUSTIN VASCULAR & VEIN SPECIALISTS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
12319 N MOPAC EXPY
SUITE 250, PLAZA NORTH BLDG.
AUSTIN, TX
ZIP 78758
Phone: (512) 339-9100
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JOEL GOTVALD, PA is a vascular surgery surgery in Austin, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. JOEL GOTVALD, PA NPI is 1780902932. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Austin Vascular & Vein Specialists.

The provider's business location address is:

12319 N MOPAC EXPY
SUITE 250, PLAZA NORTH BLDG.
AUSTIN, TX
ZIP 78758-414
Phone: (512) 339-9100
Fax: (512) 339-9105

The provider's authorized official is Joel G. Gotvald .
The authorized official title is Owner and has the following contact phone number (512) 339-9100.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 4/27/2015.


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
12086S0129XSurgeryVascular SurgeryK4694TEXASYes

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
1220258201MEDICAIDTEXAS
2TXB103677MEDICARE PINTEXAS

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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