South Austin Endocrinology and Obesity Clinic PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

SOUTH AUSTIN ENDOCRINOLOGY AND OBESITY CLINIC PLLC

Practice address

1340 Wonder World Dr Ste 2203
San Marcos, TX 78666-7791

Phone

(512) 969-8991

Fax

(512) 982-6186

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Simona Richeh

Title

Office Manager

Phone

(773) 742-0081

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1023769387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 2203",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667791",
            "telephone_number": "512-969-8991",
            "fax_number": "512-982-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 2203",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667791",
            "telephone_number": "512-969-8991",
            "fax_number": "512-982-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AUSTIN ENDOCRINOLOGY AND OBESITY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "RICHEH",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-742-0081"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessa Smyth, LPC, LCDC
• Curtis Scott Solomon, MD
• Kassandra Somers
• Joseph Charles Sorce, ATC
• Lisa Annette Soto
• South Austin Orthopaedic Clinic PA
• Southwest Family Medicine, P.a.
• Sparrows Counseling
• Specialty Physicians of Central Texas
• Spectrum Plasma Inc

• All providers in San Marcos, TX
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.