Organization Active NPI

XVX Medical Group (de), P.a.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1093464315
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
XVX MEDICAL GROUP (DE), P.A.
Practice address
2028 E Ben White Blvd Ste 240-7980
Austin, TX 78741-6966
Phone
(321) 220-5000
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. Robert Clendenin, MD
Title
President
Phone
(321) 220-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2028 E Ben White Blvd Ste 240-7980
Austin, TX 78741-6966

Mailing address

2028 E Ben White Blvd Ste 240-7980
Austin, TX 78741-6966
Phone (321) 220-5000

National Provider Directory

National Provider Directory

Locations

2028 E Ben White Blvd
Ste 2407980
Austin, TX 78741
Phone (321) 220-5000

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1093464315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD STE 240-7980",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966",
            "telephone_number": "321-220-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD STE 240-7980",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966",
            "telephone_number": "321-220-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XVX MEDICAL GROUP (DE), P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-220-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Mar 23, 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.