Individual
PRITI P GOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 LAVACA ST, AUSTIN, TX 78701-2172
(512) 477-4088
Mailing address
1108 LAVACA ST, AUSTIN, TX 78701-2172
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1151430
TX
Other
Enumeration date
12/03/2021
Last updated
01/10/2025
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