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Search › Texas › 171100000X

Mia Vassallo, L.AC

NPI 1982537239 · on the registry since 2026 · sole proprietor

Practice

Address
5301 Southwest Pkwy Ste 350
Austin, TX 78735
Phone
(512) 738-3757
Organisation at this address
Ccrm Austin, Llc
Ccrm Austin, Llc
Atx Ivf Md Practice Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 14001 Bee Cave Pkwy Ste 200, Bee Cave, TX

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas