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NPI Code Detail

MEDICARE: DAVID C LAVERTY M.D.

MEDICARE:   DAVID C LAVERTY  M.D.
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
1207X00000XOrthopaedic Surgery PhysicianL9307TX
2207XX0801XOrthopaedic Trauma PhysicianL9307TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11912062753OTHERTXNPI

General Provider Information

NPI Number : 1912062753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C LAVERTY M.D.
Provider Business Mailing Address
First Line : 4700 SETON CENTER PKWY
Second Line : SUITE 200
City : AUSTIN
State : TX
Zip : 78759-5295
Country : US
Telephone Number : 512-439-1000
Fax Number : 512-439-1081
Provider Business Practice Location Address
First Line : 911 W 38TH ST STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1161
Country : US
Telephone Number : 512-439-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 03/30/2026

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Directions to “ DAVID C LAVERTY M.D.” Practice Location

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