Active NPI
Pure Healthcare of Texas LLC
- Multi-Specialty Clinic/Center
- Austin, TX
National Provider Identifier
1174268296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PURE HEALTHCARE OF TEXAS LLC
- Practice address
- 5900 Balcones Dr Ste 100
Austin, TX 78731-4298 - Phone
- (801) 590-9267
- NPI assigned
- May 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua T Tandy
- Title
- Owner
- Phone
- (801) 787-0731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Mailing address
4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 590-9267
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651536000000",
"number": "1174268296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 S RIVERBOAT RD STE 220",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841232986",
"telephone_number": "801-590-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "801-590-9267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE HEALTHCARE OF TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A",
"authorized_official_last_name": "TANDY",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-787-0731"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"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 May 3, 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.