# JOEL GOTVALD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin Vascular & Vein Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780902932
- **Authorized official:** DR. JOEL G. GOTVALD M.D. (OWNER)
- **Authorized official phone:** (512) 339-9100

## Contact information

- **Practice address:** 12319 N MOPAC EXPY, SUITE 250, PLAZA NORTH BLDG., AUSTIN, TX 78758-2414
- **Practice address phone:** (512) 339-9100
- **Practice address fax:** (512) 339-9105
- **Mailing address:** 12319 N MOPAC EXPY, SUITE 250, PLAZA NORTH BLDG., AUSTIN, TX 78758-2414
- **Mailing address phone:** (512) 339-9100
- **Mailing address fax:** (512) 339-9105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | K4694 | TX | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 04/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 220258201 | — | TX |