Individual
ROBERT L MOUSSELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2200 PARK BEND DR STE 300, AUSTIN, TX 78758-5386
(512) 994-4159
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036.163144
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
V0067
TX
208VP0000X
Pain Medicine Physician
V0067
TX
208VP0014X
Interventional Pain Medicine Physician
V0067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44AV
MEDI-CAL PRV NBR
CA
Enumeration date
05/22/2014
Last updated
05/06/2026
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