Organization
BASTROP COUNTY MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEEV GUPTA M.D. (OWNER)
(512) 321-9091
Entity
Organization
Contact information
Practice address
489 AGNES ST, STE 100, BASTROP, TX 78602-2156
(512) 321-9091
(512) 549-3005
Mailing address
489 AGNES ST, STE 100, BASTROP, TX 78602-2156
(512) 321-9091
(512) 549-3005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K0795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071DM
BCBS
TX
05
—
092494601
—
TX
01
—
10008423
AMERIGROUP
TX
01
—
DG3304
RAILROAD MEDICARE
TX
Enumeration date
03/22/2007
Last updated
07/08/2025
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