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Organization

PATRICK PEVOTO, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK SCOTT PEVOTO MD (PRESIDENT)
(512) 451-8211
Entity
Organization

Contact information

Practice address
12200 RENFERT WAY, SUITE 100, AUSTIN, TX 78758-5614
(512) 451-8211
(512) 452-4095
Mailing address
12200 RENFERT WAY, SUITE 100, AUSTIN, TX 78758-5614
(512) 451-8211
(512) 452-4095

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5480
TX

Other

Enumeration date
08/27/2008
Last updated
03/24/2010
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