Komedix

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KOMEDIX

Practice address

189 E Austin St
Suite #106
New Braunfels, TX 78130-4104

Phone

(830) 708-8182

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger Dale Kelly

Title

Coo

Phone

(830) 708-8182

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1427458298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 BUENA VISTA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073704",
            "telephone_number": "830-708-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST",
            "address_2": "SUITE #106",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304104",
            "telephone_number": "830-708-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMEDIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "830-708-8182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Ann Knudson, LAC
• Sara Louise Koenig Langston, APRN, PMHNP-BC
• Joan Lee Koenig, LM,CPM
• Terri Renee Kohleffel, PT
• Adrienne M. Koller, MA, LPC
• Komedix Healthcare Inc
• Komedix Medical Associates PA
• Wendi E Konomos, GNP
• Felix Chong Wah Koo, M.D.
• Daniel Korman, PT, DPT

• Primary Care Clinic/Center in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.