Organization
SUVIDA HEALTHCARE NPHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR MATUK-VILLAZAN MD (CEO)
(502) 638-2736
Entity
Organization
Contact information
Practice address
211 E 7TH ST STE 700, AUSTIN, TX 78701-3218
(346) 639-3438
Mailing address
211 E 7TH ST STE 700, AUSTIN, TX 78701-3218
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
08/15/2022
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