TXIM, PLLC (NPI# 1962802744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962802744 |
Entity Type | Organization |
Organization Name | TXIM, PLLC |
Other Organization Name | CENTRAL TEXAS INTEGRATIVE MEDICINE |
Practice Address |
1001 Cypress Creek Rd Suite #403 Cedar Park TX 78613-4466 |
Practice Telephone | 5123665911 |
Practice Fax Number | 5123663823 |
Mailing Telephone | 5123665911 |
Mailing Fax Number | 5123663823 |
Enumeration Date | 2014-08-28 |
Last Update Date | 2014-08-28 |
Authorized Official Name | DR. RICHARD J. WISEMAN (OWNER) |
Authorized Official Telephone | 5123665911 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | F0084 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Central Texas Integrative Medicine | Doing Business As Name - Organization |
Street Address |
1001 CYPRESS CREEK RD SUITE #403 |
City | CEDAR PARK |
State | TX |
Zip Code | 78613-4466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154745107 | Michael Robert Smith | Counselor | 1001 Cypress Creek Rd, 201, Cedar Park, TX 78613-4466 | 2014-02-11 |
1144772286 | Megan Hoffer | Music Therapist | 1001 Cypress Creek Rd, 104, Cedar Park, TX 78613-4466 | 2016-10-25 |
1013394055 | Babies 411 LLC | Registered Nurse | 1001 Cypress Creek Rd, Suite 302, Cedar Park, TX 78613-4466 | 2015-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
Find all providers in zip 78613 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245276682 | Steven K Foster | General Practice | 190 Buttercup Creek Blvd, Cedar Park, TX 78613-3772 | 2006-06-22 |
1063737617 | Rrcp Medical, Pllc | General Practice | 500 W Whitestone Blvd, Suite 105, Cedar Park, TX 78613-2245 | 2010-04-06 |
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Find all providers with the same taxonomy |
City | CEDAR PARK |
Zip Code | 78613 |
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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.