Individual provider · Type 1 NPI

Austin Reid Peralta-Fogle, MD

Student in an Organized Health Care Education/Training Program · Austin, TX

NPI number 1619617404 Active

Practice location

1501 Red River St Fl 2
Austin, TX 78712-1845

Call (512) 495-5555 Map

Mailing address

1400 N Ih 35 Ste 2.230
Austin, TX 78701-1926

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000XBP10082772 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619617404

Austin Reid Peralta-Fogle, MD's National Provider Identifier is 1619617404, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Jul 4, 2023.