MEDICARE: JOEL GOTVALD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	K4694	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780902932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL GOTVALD, PA

Provider Business Mailing Address
First Line	:	12319 N MOPAC EXPY
Second Line	:	SUITE 250, PLAZA NORTH BLDG.
City	:	AUSTIN
State	:	TX
Zip	:	78758-2414
Country	:	US
Telephone Number	:	512-339-9100
Fax Number	:	512-339-9105

Provider Business Practice Location Address
First Line	:	12319 N MOPAC EXPY
Second Line	:	SUITE 250, PLAZA NORTH BLDG.
City	:	AUSTIN
State	:	TX
Zip	:	78758-2414
Country	:	US
Telephone Number	:	512-339-9100
Fax Number	:	512-339-9105

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOEL G. GOTVALD
Credential	:	M.D.
Telephone Number	:	512-339-9100

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	04/27/2015

Similar Medicare Providers

1811954423 — KOUSHIK K. SHAW MD
Practice Location Address:

12319 N MOPAC EXPY , SUITE 200
AUSTIN, TX
78758-2414

Practice Phone: 512-694-8888
Practice Fax: 512-973-3036

1245379551 — GEORGE LEOR SHASHOUA MD
Practice Location Address:

12319 N MOPAC EXPY , SUITE 200
AUSTIN, TX
78758-2414

Practice Phone: 512-973-8276
Practice Fax: 512-973-3036

1851582415 — DR. SREEVIDYA BODAPATI D.D.S., M.S.
Practice Location Address:

12319 N MOPAC EXPY , SUITE 160
AUSTIN, TX
78758-2414

Practice Phone: 512-222-5721
Practice Fax:

1356607956 — MR. BALRAM JONATHAN SHARMA MD
Practice Location Address:

12319 N MOPAC EXPY
AUSTIN, TX
78758-2414

Practice Phone: 512-835-5577
Practice Fax:

1104258565 — PREFERRED SPINE AND PAIN PLLC
Practice Location Address:

12319 N MOPAC EXPY , SUITE 350
AUSTIN, TX
78758-2414

Practice Phone: 512-255-7246
Practice Fax: 512-255-7547

1710317516 — NEUROGEN THERAPEUTICS, LLC
Practice Location Address:

12319 N MOPAC EXPY , SUITE 260
AUSTIN, TX
78758-2414

Practice Phone: 512-673-8152
Practice Fax:

Directions to “JOEL GOTVALD, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.