Individual
DR. AUSTIN REID PERALTA-FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
(512) 495-5555
Mailing address
1400 N IH 35 STE 2.230, AUSTIN, TX 78701-1926
(512) 324-8235
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
BP10082772
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
07/04/2023
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