Individual
AMELIA VENDRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E 15TH ST, PATHOLOGY DEPARTMENT, AUSTIN, TX 78701
(512) 324-7516
(512) 324-7536
Mailing address
PO BOX 164106, AUSTIN, TX 78716-4106
(512) 324-7516
(512) 324-7536
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H4767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124426102
—
TX
05
—
124426103
—
TX
05
—
124426105
—
TX
05
—
124426106
—
TX
05
—
124426107
—
TX
01
—
80P650
BCBS OF TEXAS
—
Enumeration date
11/04/2005
Last updated
05/18/2009
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