Organization Active NPI

Tinovus Health PLLC

Doing business as Tinovus Health

  • Primary Care Clinic/Center
  • Woodway, TX
National Provider Identifier
1205525375
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TINOVUS HEALTH PLLC
Doing business as
Tinovus Health
Practice address
9111 Jordan LN
Suite 300
Woodway, TX 76712
Phone
(254) 253-2855
Fax
(512) 856-9455
NPI assigned
May 4, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Stefan Huber, DONPI 1023633716
Title
Physician/Owner
Phone
(254) 253-2855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

9111 Jordan LN
Suite 300
Woodway, TX 76712

Mailing address

3217 Jackal Dr
Lorena, TX 76655-3379

Other names 1

  • Tinovus Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2279505Tinovus Health PLLC9111 Jordan LN Suite 300, Woodway, TX 76712Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

9111 Jordan Ln
Ste 300
Woodway, TX 76712
Phone (254) 253-2855

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1205525375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 JACKAL DR",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 JORDAN LN",
            "address_2": "SUITE 300",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-253-2855",
            "fax_number": "512-856-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINOVUS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "254-253-2855",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tinovus Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.