Provider Demographics
NPI:1639123789
Name:GIGLIOTTI, OSVALDO STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:OSVALDO
Middle Name:STEVEN
Last Name:GIGLIOTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N IH 35
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1926
Mailing Address - Country:US
Mailing Address - Phone:512-324-8300
Mailing Address - Fax:512-324-8301
Practice Address - Street 1:1626 COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-620-1272
Practice Address - Fax:830-620-1274
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3561207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180741407Medicaid
TX8CS466OtherBCBS
TX180741405Medicaid
TX180741404Medicaid
TX180741406Medicaid
TXP00976284OtherRAILROAD MEDICARE
TX8ET184OtherBCBS
TXTXB124684Medicare PIN
TX180741405Medicaid
TX328607YMGJMedicare PIN
TX8CS466OtherBCBS
TXG80180Medicare UPIN