Individual
DR. CHANTAL LUCIA CASADONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1810
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1810
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
S0501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399474101
—
TX
Enumeration date
09/04/2012
Last updated
11/27/2019
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