The Cactus Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE CACTUS CLINIC

Practice address

12016 W Highway 290
Suite 3
Austin, TX 78737-2832

Phone

(512) 301-1515

Fax

(512) 535-7045

NPI assigned

Mar 9, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Lee Casey, M.D.

Title

Vice President

Phone

(512) 301-1515

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053442962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 W HIGHWAY 290",
            "address_2": "SUITE 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787372832",
            "telephone_number": "512-301-1515",
            "fax_number": "512-535-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12016 W HIGHWAY 290",
            "address_2": "SUITE 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787372832",
            "telephone_number": "512-301-1515",
            "fax_number": "512-535-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CACTUS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-301-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.