CARDIOMETABOLIC CLINIC & RESEARCH CENTER (NPI# 1730572611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730572611 |
| Entity Type | Organization |
| Organization Name | CARDIOMETABOLIC CLINIC & RESEARCH CENTER |
| Other Organization Name | HEART & HORMAL HEALTH CLINIC |
| Practice Address |
11620 Medallion Ln Austin TX 78750-2630 |
| Mailing Address |
115 Sundance Pkwy Suite 424 Round Rock TX 78681-7914 |
| Practice Telephone | 5122972611 |
| Mailing Telephone | 5125686635 |
| Mailing Fax Number | 5096941312 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | DR. VASUDEVAN A RAGHAVAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5125686635 |
| Authorized Official Credential | MBBS, MD, MRCP(U |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
M2490 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2707726 | 05 |
| Other Name | Type Code |
|---|---|
| Heart & Hormal Health Clinic | Doing Business As Name - Organization |
| Street Address |
11620 MEDALLION LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081192 | Sprout Chiropractic Pllc | Clinic/Center | 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 | 2019-12-26 |
| 1598022972 | Lakeway Psychiatry and Behavioral Health | Clinic/Center | 117 Sebastians Run, Austin, TX 78738-6556 | 2012-04-23 |
| 1528391109 | Stonehedge Group Inc | Clinic/Center | 9309 La Puente Dr, Austin, TX 78749-4036 | 2009-09-14 |
| 1013240076 | Vaccine Machine LLC | Clinic/Center | 631 W 38th St Ste 1, Austin, TX 78705-1251 | 2009-09-09 |
| 1588037758 | Sinus & Snoring Specialists | Clinic/Center | 12221 Renfert Way, Ste 110, Austin, TX 78758 | 2015-11-09 |
| 1356749642 | Michael L. Gutierrez, M.d.,p.a. | Clinic/Center | 1009 E 40th St, Suite 300b, Austin, TX 78751-4838 | 2014-12-18 |
| 1275938987 | Daulat Dermatology Pa | Clinic/Center | 13740 Research Blvd, P-4, Austin, TX 78750-1884 | 2014-10-24 |
| 1538589510 | Central Texas | Clinic/Center | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2014-04-17 |
| 1013268796 | Vaxwell LLC | Clinic/Center | 631 W 38th St, Suite 1, Austin, TX 78705-1250 | 2012-09-21 |
| 1407092166 | Medicine In Motion, Martha Pyron Md | Clinic/Center | 711 W 38th St Ste G4, Austin, TX 78705-1134 | 2008-12-31 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on CARDIOMETABOLIC CLINIC & RESEARCH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.