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Individual

DR. GUADALUPE RICHTER PIATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8210 CEDAR CV, AUSTIN, TX 78737-4411
(512) 201-3438
Mailing address
12221 N MOPAC EXPRESSWAY, AUSTIN, TX 78758
(512) 901-4031

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
203087
LA
208000000X
Pediatrics Physician
39865
TN
208000000X
Pediatrics Physician
Primary
P4692
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1807303
LA
Enumeration date
09/23/2005
Last updated
04/02/2016
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