Organization Active NPI

Vaxwell LLC

  • Medical Specialty Clinic/Center
  • Austin, TX
National Provider Identifier
1013268796
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E2824 Issued in TX
Legal business name
VAXWELL LLC
Practice address
631 W 38TH St
Suite 1
Austin, TX 78705-1250
Phone
(512) 459-0672
Fax
(512) 420-0974
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sidney T Robin, M.D.NPI 1760499586
Title
Managing Member
Phone
(512) 459-0672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E2824 TX Primary

Addresses

Primary practice location

631 W 38TH St
Suite 1
Austin, TX 78705-1250

Mailing address

8804 Bluegrass Dr
Austin, TX 78759-7167
Phone (512) 459-0672

National Provider Directory

National Provider Directory

Locations

4501 Spicewood Springs Rd
Ste 1033
Austin, TX 78759
Phone (512) 459-0672

20079 Stone Oak Pkwy
Ste 1270
San Antonio, TX 78258

5282 Medical Dr
Ste 445
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1013268796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 BLUEGRASS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597167",
            "telephone_number": "512-459-0672",
            "fax_number": "512-420-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W 38TH ST",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051250",
            "telephone_number": "512-459-0672",
            "fax_number": "512-420-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAXWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-459-0672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.