Organization Active NPI

Axiom Telemedicine Associates

  • Multi-Specialty Clinic/Center
  • Rockwall, TX
National Provider Identifier
1174319024
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AXIOM TELEMEDICINE ASSOCIATES
Practice address
3140 Horizon Rd Ste 105
Rockwall, TX 75032-7820
Phone
(469) 443-0742
Fax
(469) 443-0501
NPI assigned
Apr 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Julio Andinovelez, MD
Title
Chief Operating Officer
Phone
(469) 443-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3140 Horizon Rd Ste 105
Rockwall, TX 75032-7820

Mailing address

3140 Horizon Rd Ste 105
Rockwall, TX 75032-7820
Phone (469) 443-0742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1174319024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 105",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327820",
            "telephone_number": "469-443-0742",
            "fax_number": "469-443-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 105",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327820",
            "telephone_number": "469-443-0742",
            "fax_number": "469-443-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM TELEMEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "ANDINOVELEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "469-443-0742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.