Provider Demographics
NPI:1962364794
Name:SAVORILLO, GABRIELLA GRACE
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:GRACE
Last Name:SAVORILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 CAMINO VAQUERO PKWY APT 11104
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-1019
Mailing Address - Country:US
Mailing Address - Phone:512-906-5183
Mailing Address - Fax:
Practice Address - Street 1:8324 CAMERON RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3990
Practice Address - Country:US
Practice Address - Phone:737-241-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1218088363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner