Individual
MICHAEL THOMAS SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
(512) 324-0786
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0165
(512) 324-0786
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
748064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303194001
—
TX
05
—
303194002
—
TX
Enumeration date
12/30/2011
Last updated
11/20/2012
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