Individual
DR. PETER VAIL DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5910 COURTYARD DR, SUITE 300, AUSTIN, TX 78731-3341
(512) 444-2274
(512) 372-6225
Mailing address
5910 COURTYARD DR, SUITE 300, AUSTIN, TX 78731-3341
(512) 444-2274
(512) 372-6225
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
M0059
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
M0059
TX
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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