Individual
DR. ELIZABETH KNACKMUHS REVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5339 N IH 35, AUSTIN, TX 78723-2557
(512) 978-8130
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250049
NY
207RI0200X
Infectious Disease Physician
250049
NY
207RI0200X
Infectious Disease Physician
Primary
R9673
TX
Other
Enumeration date
12/19/2008
Last updated
10/15/2025
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