Metabolic Therapy Inc.

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

METABOLIC THERAPY INC.

Doing business as

Texas Translational Cognition Research

Practice address

4103 Avenue D
Austin, TX 78751

Phone

(512) 909-7963

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Kenneth Russell

Title

Owner

Phone

(512) 909-7963

Specialties & licenses 1

Addresses

Other names 1

• Texas Translational Cognition Research Doing business as

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1053859306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787666101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 AVENUE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78751",
            "telephone_number": "512-909-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-909-7963"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Translational Cognition Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne C Messman
• Mitchell Mest
• Jonathan Mesta
• Cathleen Teresa Mestre, MD
• Elizabeth Meszaros
• Metaphor Makers LLC
• Metat LLC
• Bruce Richard Metcalf III, MD
• Jade Elyse Metcalf, PT, DPT
• Steven J Metcalf, MD

• Clinic Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Clinic Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.