Healthcare Provider Details

I. General information

NPI: 1841382421
Provider Name (Legal Business Name): ANDREA NATALE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N. IH-35, SUITE 700
AUSTIN TX
78705-1804
US

IV. Provider business mailing address

3000 N. IH-35, SUITE 700
AUSTIN TX
78705-1804
US

V. Phone/Fax

Practice location:
  • Phone: 512-807-3150
  • Fax: 512-458-7879
Mailing address:
  • Phone: 512-807-3150
  • Fax: 512-458-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC50726
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35076775N
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberM9533
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: