Organization Active NPI

Central Texas Walk-in Clinic

  • Specialist
  • Austin, TX
National Provider Identifier
1386936433
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL TEXAS WALK-IN CLINIC
Practice address
11139 N Ih 35
Suite120
Austin, TX 78753-3243
Phone
(512) 614-2695
Fax
(512) 614-2702
NPI assigned
May 9, 2011
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Mr. Christopher Neal Taylor, CSSBB
Title
Coo/Cfo
Phone
(832) 878-0657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

11139 N Ih 35
Suite120
Austin, TX 78753-3243

Mailing address

11139 N Ih 35
Suite120
Austin, TX 78753-3243
Phone (512) 614-2695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1386936433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11139 N IH 35",
            "address_2": "SUITE120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533243",
            "telephone_number": "512-614-2695",
            "fax_number": "512-614-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11139 N IH 35",
            "address_2": "SUITE120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533243",
            "telephone_number": "512-614-2695",
            "fax_number": "512-614-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "832-878-0657",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSSBB"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 9, 2011; 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.