Individual
CHAD RYAN FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6818 AUSTIN CENTER BLVD STE 200, AUSTIN, TX 78731-3100
(512) 856-1000
Mailing address
6818 AUSTIN CENTER BLVD STE 200, AUSTIN, TX 78731-3100
(512) 856-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA02691
TX
363AS0400X
Surgical Physician Assistant
Primary
PA02691
TX
Other
Enumeration date
03/24/2006
Last updated
12/30/2021
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