Gotvald, Joel Gerard

Gotvald, Joel Gerard is an individual health care provider with primary practice located at 2217 Park Bend Dr Ste 230 , Austin TX 78758-5674. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gotvald, Joel Gerard can be contacted via phone (512) 220-5401.

Contact Information

Primary practice address
2217 Park Bend Dr Ste 230 Austin TX 78758-5674
Phone: (512) 220-5401
Fax: (512) 220-5440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Surgery 208600000X K4694 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X K4694 Texas

Profile Details

NPI number 1184683013
LBN Legal business name Gotvald, Joel Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184683013 NPPES
Texas MEDICAID 272053137
Texas Other P00365013
Texas MEDICAID 99680262

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