Active NPI
Texas Sports & Family Medicine, PLLC
- Sports Medicine (Family Medicine) Physician
- Austin, TX
National Provider Identifier
1407865355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 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 DirectoryNPI 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": []
}
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- Texas School for the Blind
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- Texas Spine and Orthopedic Surgeons
- Texas Spine and Pain Center PLLC
- Texas State Clinical Laboratories, Inc
- Texas Taproot Counseling PLLC
- Texas Therapy Collective, PLLC
- Texas Therapy Specialists
- Texas Trails Therapeutic Services, PLLC
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.