Joel Gerard Gotvald in Austin - Vascular Surgery
Joel Gerard Gotvald - NPI 1184683013
Joel Gerard Gotvald is a Vascular Surgery in Austin, Texas. Joel Gerard Gotvald practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Joel Gerard Gotvald is 1184683013. The last update date is 2023-05-17.
Joel Gerard Gotvald's current location address is 12319 N Mopac Expy, Austin, Texas. You can contact this provider via phone number 5123399100 and fax number 5123399105. The mailing address for Joel Gerard Gotvald is 12319 N Mopac Expy, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joel Gerard Gotvald |
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Address | 12319 N Mopac Expy, Austin, Texas |
Phone Number | 5123399100 |
Fax Number | 5123399105 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1184683013 |
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Provider Enumeration Date | 2006-03-20 |
Last Updated Date | 2023-05-17 |
Provider Mailing Address Detail
Address | 12319 N Mopac Expy |
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City | Austin |
State | Texas (TX) |
Post Code | 787582414 |
Phone Number | 5123399100 |
Fax Number | 5123399105 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | K4694 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
272053137 | TX | -- | |
99680262 | CO | -- | |
P00365013 | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Joel Gerard Gotvald by the Centers for Medicare & Medicaid Services?
The Joel Gerard Gotvald has been assigned the NPI (National Provider Identifier) 1184683013 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Joel Gerard Gotvald's physical address?
The Joel Gerard Gotvald is physically located at 12319 N Mopac Expy, in the city of Austin, TX, with the postal code 787582414.
What is Joel Gerard Gotvald's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joel Gerard Gotvald is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.
On what date was the 1184683013 assigned to Joel Gerard Gotvald?
The Joel Gerard Gotvald was issued its 1184683013 on 2006-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Joel Gerard Gotvald most recently updated or revised?
The details related to Joel Gerard Gotvald, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-17.