Basic Information
| Provider Information | |||||||||
| NPI: | 1518937408 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SVATEK | ||||||||
| FirstName: | DARRELL | ||||||||
| MiddleName: | DAVID | ||||||||
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| Credential: | PA-C, MPAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 774 LANDA ST | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781306114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306250305 | ||||||||
| FaxNumber: | 8306252693 | ||||||||
| Practice Location | |||||||||
| Address1: | 774 LANDA ST | ||||||||
| Address2: | |||||||||
| City: | NEW BRAUNFELS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781306114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306250305 | ||||||||
| FaxNumber: | 8306252693 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2006 | ||||||||
| LastUpdateDate: | 01/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | R24960 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 363A00000X | PA05069 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | P02583873 | 01 | TX | MEDICARE RAILROAD | OTHER |