Individual
DR. TESSA KIMBERLY NOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S.W
Contact information
Practice address
321 W BEN WHITE BLVD, AUSTIN, TX 78704-7035
(512) 320-1500
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8684
MD
207R00000X
Internal Medicine Physician
D0081050
MD
207RN0300X
Nephrology Physician
Primary
S0962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4022238
—
TX
Enumeration date
05/08/2013
Last updated
02/15/2024
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