Reliant MD Medical Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RELIANT MD MEDICAL ASSOCIATES PLLC

Practice address

6500 River Place Blvd Ste 4-102
Austin, TX 78730-1109

Phone

(512) 229-9898

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Tanyea Thomas

Title

Manager, Reliant Immune Diagnostics

Phone

(254) 350-7122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reliant MD Medical 2 Other name

Electronic endpoints 1

Tax ID family

Reliant MD Medical 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reliant MD Medical Associates PLLC

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1346995024
  NPD tax ID

Practitioners 1

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

• Henry Joseph Legere III, MD

  • Allergy Physician
  • Austin, TX
  • NPI 1669464723
  NPD (past)

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1043967276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RIVER PLACE BLVD STE 4-102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301109",
            "telephone_number": "512-229-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 RIVER PLACE BLVD STE 4-102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301109",
            "telephone_number": "512-229-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MD MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TANYEA",
        "authorized_official_title_or_position": "MANAGER, RELIANT IMMUNE DIAGNOSTICS",
        "authorized_official_telephone_number": "254-350-7122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1K7179",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tanyea.thomas@reliant.md",
            "affiliation": "N",
            "address_1": "6500 River Place Blvd Ste 4-102",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787301109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reliant MD Medical 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Austin, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.