BUDDY COSTARELLA DAVIS


Address: 7800 Shoal Creek Blvd Ste 200w, Austin, TX 78757-1014
Phone: 7372023871

BUDDY COSTARELLA DAVIS (NPI# 1578744942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578744942
Entity Type Individual
Full Name BUDDY COSTARELLA DAVIS
Credential PA-C
Practice Address 7800 Shoal Creek Blvd Ste 200w
Austin
TX 78757-1014
Mailing Address 601 5th St S
Suite 511
St Petersburg
FL 33701-4804
Practice Telephone 7372023871
Practice Fax Number 7372023782
Mailing Telephone 7277678181
Enumeration Date 2007-11-14
Last Update Date 2019-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA11793 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 1574874942 05

Office Location

Street Address 7800 SHOAL CREEK BLVD STE 200W
City AUSTIN
State TX
Zip Code 78757-1014

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518518927 Mark D Newberry Pharmacist 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 2019-09-26
1972063634 Napa Center Usa, LLC Physical Therapist 8640 Burnet Rd, Austin, TX 78757 2019-03-20
1013493071 Anna Cathleen Mccormack Pharmacist 2525 W Anderson Lane Bldg 2, Austin, TX 78757 2018-07-12
1336633379 Claire Siegel Dietitian, Registered 7421 Burnet Rd # 269, Austin, TX 78757 2018-06-21
1619372687 Krishna Gc Nurse Practitioner 7950 Anderson Square Suite 108, 225, Austin, TX 78757 2014-11-03
1447669874 Nicholas Dale Taylor Psychologist 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 2014-08-11
1396155404 Onsite Chiropractic, Pllc Chiropractor 1929 Payton Gin Rd., Ste E, Austin, TX 78757 2014-04-29
1578994703 Greentree Health Pain Management Pain Medicine 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 2013-12-13
1457692139 Harbor Hospice of Georgetown, Lp Hospice Care, Community Based 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 2013-03-06
1821335852 Janet Lee Cook Acupuncturist 8303 Shoal Creek Boulevard, Austin, TX 78757 2013-01-10
Find all providers in zip 78757

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124502794 Joan Margaret Carroll Physician Assistant 3000 N, I-35, Suite 600, Austin, TX 78705 2018-09-19
1962988329 Aucutt Surgical Services, Pllc Physician Assistant 6705 Melava Ct, Austin, TX 78749-6924 2018-07-18
1114307907 Facilitate Surgical, Pllc Physician Assistant 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 2015-06-05
1265834220 Heidi Burns Physician Assistant 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 2014-09-22
1861812273 Deborah Louise Sheffield Physician Assistant 13333 Black Canyon Dr, Austin, TX 78729-7482 2014-04-24
1508102559 Gator Pa 1st Assist, LLC Physician Assistant 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 2012-12-19
1972853596 Gileana Santana Physician Assistant 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 2012-09-11
1952698524 Sarah Marie Elmer Physician Assistant 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 2011-07-05
1811221617 Ryan Douglas Lester Physician Assistant 4611 Guadalupe Street, Suite 200, Austin, TX 78704 2009-09-25
1710150958 Lauren Murdock Aseron Physician Assistant 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 2008-04-09
Find all providers in AUSTIN

Competitor

Search similar providers

City AUSTIN
Zip Code 78757

Improve Information

Please comment or provide details below to improve the information on BUDDY COSTARELLA DAVIS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches