South Central Wellness LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTH CENTRAL WELLNESS LLC

Doing business as

South Land Urology

Practice address

1180 Seton Pkwy Ste 320
Kyle, TX 78640

Phone

(512) 651-0702

Fax

(512) 651-0702

NPI assigned

Sep 19, 2018

Last updated

Feb 6, 2019By 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. Robyn Liane Roberts, MDNPI 1427377001

Title

MD/ Owner

Phone

(512) 651-0702

Specialties & licenses 1

Addresses

Other names 1

• South Land Urology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robyn Liane Roberts, MD

  • Urology Physician
  • Tyler, TX
  • NPI 1427377001
  Authorized official Same address or phone

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1154805828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 FERGUS",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786408627",
            "telephone_number": "512-651-0702",
            "fax_number": "512-651-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 320",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-651-0702",
            "fax_number": "512-651-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "LIANE",
        "authorized_official_title_or_position": "MD/ OWNER",
        "authorized_official_telephone_number": "512-651-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Land Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Land Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.