Healthcare Provider Details

I. General information

NPI: 1205455870
Provider Name (Legal Business Name): AVINASH GOVIND THANGIRALA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2559 WESTERN TRAILS BLVD STE 200
AUSTIN TX
78745-1554
US

IV. Provider business mailing address

6410 FANNIN ST STE 600
HOUSTON TX
77030-5206
US

V. Phone/Fax

Practice location:
  • Phone: 512-899-2028
  • Fax: 512-899-0311
Mailing address:
  • Phone: 832-325-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberW5983
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: