Innovacare Texas Management Services Company LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INNOVACARE TEXAS MANAGEMENT SERVICES COMPANY LLC

Practice address

1672 Independence Dr Ste 310
New Braunfels, TX 78132-3982

Phone

(830) 730-5025

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Doug Malton

Title

Delegated Official,

Phone

(917) 204-3810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1215651252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592",
            "telephone_number": "321-332-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 INDEPENDENCE DR STE 310",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323982",
            "telephone_number": "830-730-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVACARE TEXAS MANAGEMENT SERVICES COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MALTON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL,",
        "authorized_official_telephone_number": "917-204-3810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taj Ibrik, D.D.S.
• Ideal Dental of New Braunfels PLLC
• Ideal Dentistry, PLLC
• Independence Home Care LLC
• Inmindout Emotional Wellness Center, LLC
• Inpatient Medicine Physicians PA
• Inspired Senior Living of New Braunfels Mt LLC
• Integrative Therapy Specialist (Integrative Physical Therapy Specialist)
• Intuitive Mind Behavioral Health PLLC
• Irvin Sahni, M.D. PA.

• Family Medicine Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.