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Organization

JOEL GOTVALD, PA

Active
Other names
Austin Vascular & Vein Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL G. GOTVALD M.D. (OWNER)
(512) 339-9100
Entity
Organization

Contact information

Practice address
12319 N MOPAC EXPY, SUITE 250, PLAZA NORTH BLDG., AUSTIN, TX 78758-2414
(512) 339-9100
(512) 339-9105
Mailing address
12319 N MOPAC EXPY, SUITE 250, PLAZA NORTH BLDG., AUSTIN, TX 78758-2414
(512) 339-9100
(512) 339-9105

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
K4694
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220258201
TX
Enumeration date
05/12/2010
Last updated
04/27/2015
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