person
Mr. Kevin Joseph Giacontiere, PA
Surgical Physician Assistant in Austin, Texas
NPI 1942205430

Kevin Joseph Giacontiere is a Surgical Physician Assistant based in Austin, TX and is specialized in Surgical. Kevin Joseph Giacontiere practices in Austin, TX and has the professional credentials of PA. The NPI Number for Kevin Joseph Giacontiere is 1942205430 and holds a License No. PA01948 (Texas).

The current practice location address for Kevin Joseph Giacontiere is 3500 Jefferson St, Austin, TX and can be reached out via phone at 512-451-0139 and via fax at 512-323-5880.

Location: 3500 Jefferson St, Austin, TX, 78731-6224
person
Provider Profile Details
NPI Number
1942205430
Provider Name
Kevin Joseph Giacontiere
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3500 Jefferson St, Austin, TX, 78731-6224
Phone Number
512-451-0139
Fax Number
512-323-5880
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0040EE 01 TX BLUE CROSS BLUE SHIELD
88N360 01 TX BLUE CROSS BLUE SHIELD
970030195 01 TX MEDICARE RAILROAD
CK7292 01 TX MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
3500 Jefferson St
City
State
Zip
78731-6224
Phone Number
512-451-0139
Fax Number
512-323-5880
person
Provider Business Mailing Address Details
Address
3500 Jefferson St
City
State
Zip
78731-6224
Phone Number
512-451-0139
Fax Number
512-323-5880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA01948 (Texas)
Definition
Definition to come...
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