Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Buddy Costarella Davis, PA-C

Individual provider Physician Assistant · NPI 1578744942

Buddy Costarella Davis, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2006, 20 years ago. Practices with Central Texas Community Health Centers, a 164-clinician group. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 E 41st St Ste 925
Austin, TX 78751-4856
Phone: (512) 978-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11793 (TX)

Record details

NPI number1578744942
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Central Texas Community Health Centers — 164 clinicians
Accepts Medicare assignment Not indicated

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