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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY G THORSTAD MD PA

Active Organization

KELLY G THORSTAD MD PA is a Pediatrics organization located in AUSTIN, Texas. NPI 1679797310 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · AUSTIN, TX

Registration Details

NPI Number
1679797310
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.299131458844 yrs)
Last Updated
Jul 18, 2007
License
L0651 (TX)

Practice Information

Address
12174 N MO PAC EXPY
SUITE A
AUSTIN, TX, 787582910
Browse TX providers · Browse ZIP 78758
Phone
5128337334
Fax
5128337333
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.