NPIMap

Organization Active NPI

Magenta Clinics, Inc

Doing business as H-E-B Wellness Primary Care

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1205596491
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAGENTA CLINICS, INC
Doing business as
H-E-B Wellness Primary Care
Practice address
8601 South Congress Ave
Suite 110
Austin, TX 78745
Phone
(210) 938-9355
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Estelle Amelia Mathey
Title
Operations Advisor
Phone
(512) 917-6559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

8601 South Congress Ave
Suite 110
Austin, TX 78745

Mailing address

646 S Flores St
San Antonio, TX 78204-1219
Phone (210) 938-9355

Other names 1

  • H-E-B Wellness Primary Care 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
45D2250607Magenta Clinics Inc8601 South Congress Ave Suite 110, Austin, TX 78745Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Magenta Clinics Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1205596491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "210-938-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SOUTH CONGRESS AVE",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "210-938-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGENTA CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MATHEY",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "OPERATIONS ADVISOR",
        "authorized_official_telephone_number": "512-917-6559"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H-E-B Wellness Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2021; 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.