Active NPI
Mens Wellness Center One LLC
- Adult Medicine Physician
- Austin, TX
National Provider Identifier
1497024905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- E8227
- Legal business name
- MENS WELLNESS CENTER ONE LLC
- Practice address
- 3724 Jefferson St
Ste 112
Austin, TX 78731-6225 - Phone
- (512) 454-9700
- Fax
- (512) 407-9511
- NPI assigned
- Dec 29, 2011
- 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. David Lee Weiler, M.D.
- Title
- Medical Doctor/Director
- Phone
- (512) 454-9700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | E8227 | TX | Primary |
Addresses
Primary practice location
3724 Jefferson St
Ste 112
Austin, TX 78731-6225
Mailing address
3724 Jefferson St
Ste 112
Austin, TX 78731-6225
Phone (512) 454-9700
Other names 1
- Mens Wellness Center of Austin
National Provider Directory
National Provider DirectoryLocations
3724 Jefferson St
Ste 112
Austin, TX 78731
Phone (512) 454-9700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Austin, TX
- NPI 1467738955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1497024905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST",
"address_2": "STE 112",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316225",
"telephone_number": "512-454-9700",
"fax_number": "512-407-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST",
"address_2": "STE 112",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316225",
"telephone_number": "512-454-9700",
"fax_number": "512-407-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENS WELLNESS CENTER ONE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "WEILER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MEDICAL DOCTOR/DIRECTOR",
"authorized_official_telephone_number": "512-454-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "E8227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mens Wellness Center of Austin",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 29, 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.