Organization Active NPI

Texas Sports & Family Medicine, PLLC

  • Sports Medicine (Family Medicine) Physician
  • Austin, TX
National Provider Identifier
1407865355
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
TEXAS SPORTS & FAMILY MEDICINE, PLLC
Practice address
3200 Red River St
201
Austin, TX 78705-2655
Phone
(512) 473-0201
Fax
(512) 473-0202
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. C. Mark Chassay, M.D.
Title
Manager
Phone
(512) 473-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

3200 Red River St
201
Austin, TX 78705-2655

Mailing address

3200 Red River St
201
Austin, TX 78705-2655
Phone (512) 473-0201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1407865355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RED RIVER ST",
            "address_2": "201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052655",
            "telephone_number": "512-473-0201",
            "fax_number": "512-473-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RED RIVER ST",
            "address_2": "201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052655",
            "telephone_number": "512-473-0201",
            "fax_number": "512-473-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPORTS & FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "CHASSAY",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-473-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "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 Jan 6, 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.