Provider Demographics
NPI:1386311710
Name:GV ADVANCED PRACTICE SOLUTIONS, LLC
Entity type:Organization
Organization Name:GV ADVANCED PRACTICE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GADDIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILELA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:512-909-7278
Mailing Address - Street 1:801 C-BAR RANCH TRL APT 1042
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2559
Mailing Address - Country:US
Mailing Address - Phone:737-279-3600
Mailing Address - Fax:737-279-3700
Practice Address - Street 1:801 C-BAR RANCH TRL APT 1042
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2559
Practice Address - Country:US
Practice Address - Phone:512-909-7278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty