NPI 1013044718

Jose L Bravo, MD

Practitioner Surgery Physician Austin, TX

Practice location

Address: 313 E 12th St STE 100, Austin, TX 78701-1955
Phone: (512) 324-8960
Fax: (512) 324-8962
Mailing address: 1601 Rio Grande St STE 348, Austin, TX 78701-1149

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence G4853 (TX)

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Registry record

NPI: 1013044718
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.