Healthcare Provider Details

I. General information

NPI: 1215949169
Provider Name (Legal Business Name): PADMA KROTHAPALLI HORVIT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MEDICAL PKWY STE 200
CEDAR PARK TX
78613-5026
US

IV. Provider business mailing address

6210 E HWY 290
AUSTIN TX
78723-1098
US

V. Phone/Fax

Practice location:
  • Phone: 512-260-1581
  • Fax: 512-406-7309
Mailing address:
  • Phone: 512-483-9596
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberJ4218
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: