Healthcare Provider Details

I. General information

NPI: 1346048337
Provider Name (Legal Business Name): SARASWATI BHETWAL AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4681 COLLEGE PARK DR
ROUND ROCK TX
78665-1526
US

IV. Provider business mailing address

1400 LITTLE ELM TRL UNIT 1077
CEDAR PARK TX
78613-2859
US

V. Phone/Fax

Practice location:
  • Phone: 512-671-1100
  • Fax:
Mailing address:
  • Phone: 859-420-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1192213
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: