Individual
GRETTA ALEXANDRA LACOUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 MEDICAL PKWY BLDG B, CEDAR PARK, TX 78613-7763
(512) 260-1581
(512) 406-7309
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17367
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/18/2023
Last updated
02/17/2026
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