Individual
MICHAEL TESTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 N LAMAR BLVD # 350, AUSTIN, TX 78756-4080
(512) 341-6414
Mailing address
12005 SOVRAN LN, AUSTIN, TX 78750-1625
(512) 318-5385
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
165625
TX
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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