Hni Medical Services of Tennessee, PLLC

Organization Active NPI Internal Medicine Physician · Austin, TX

NPI 1124688338 · NPPES record last updated Nov 23, 2020

Key facts

NPI
1124688338
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
HNI MEDICAL SERVICES OF TENNESSEE, PLLC
Practice address
7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534
Phone
(512) 730-3060
Fax
(888) 730-1925
NPI assigned
Jun 19, 2019
Organization subpart
No

Authorized official

Name
Hugo Blake
Title
President
Phone
(512) 730-3056

Practitioners 3

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

National Provider Directory

Locations

350 N Orleans St
Ste 800
Chicago, IL 60654

7500 Rialto Blvd
Ste 1140
Austin, TX 78735
Phone (312) 385-0441

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534

Mailing address

7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534
Phone (512) 730-3060

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address physicianservices@hnihc.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 23, 2020.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1124688338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 1-140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358534",
            "telephone_number": "512-730-3060",
            "fax_number": "888-730-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 RIALTO BLVD STE 1-140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358534",
            "telephone_number": "512-730-3060",
            "fax_number": "888-730-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HNI MEDICAL SERVICES OF TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "HUGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-730-3056"
    },
    "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": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "physicianservices@hnihc.com",
            "affiliation": "N",
            "address_1": "7500 Rialto Blvd Ste 1-140",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.