Individual
ANDREAS VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5526 S CONGRESS AVE, AUSTIN, TX 78745-3106
(512) 462-3820
Mailing address
5526 S CONGRESS AVE, AUSTIN, TX 78745-3106
(512) 462-3820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15194
TX
Other
Enumeration date
12/25/2020
Last updated
02/03/2022
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