MW Wellness IV, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MW WELLNESS IV, LLC

Practice address

13359 N Highway 183 Ste 403
Austin, TX 78750-7154

Phone

(512) 867-6200

Fax

(512) 519-1127

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Jodi Despoy

Title

Manager

Phone

(813) 228-6334

Specialties & licenses 1

Addresses

Tax ID family

MW Wellness IV LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• MW Wellness IV, LLC

  • Family Medicine Physician
  • Waco, TX
  • NPI 1518405737
  NPD tax ID

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1285274100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S HYDE PARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062266",
            "telephone_number": "813-228-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13359 N HIGHWAY 183 STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507154",
            "telephone_number": "512-867-6200",
            "fax_number": "512-519-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW WELLNESS IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "DESPOY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-228-6334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime D Mutschink
• Manvitha Reddy Mutyala, MD
• Donna Muyshondt, OTR/L
• Syema Muzaffar, M.D.
• Logan Muzyka
• Lucy Wanjiru Mwangi, PMHNP
• Molly Kate Oshinski Mwez, M.ED., BCBA, LBA
• Peris June Mwirigi, MD, MPH
• MX Medical LLC
• My Bluebonnet Company, LLC

• Family Medicine Physician in Austin, TX
• Providers in Austin, 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 Jun 26, 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.