Organization Active NPI

Central Texas Rhuematology P.a.

  • Rheumatology Physician
  • West Lake Hills, TX
National Provider Identifier
1609059211
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
H7807 Issued in TX
Legal business name
CENTRAL TEXAS RHUEMATOLOGY P.A.
Practice address
5656 Bee Cave Rd
Ste J-200
West Lake Hills, TX 78746-5280
Phone
(512) 732-2929
Fax
(512) 732-2933
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Nicole Kucera
Title
Office Manager
Phone
(512) 732-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X H7807 TX Primary

Addresses

Primary practice location

5656 Bee Cave Rd
Ste J-200
West Lake Hills, TX 78746-5280

Mailing address

5656 Bee Cave Rd
Ste J-200
Austin, TX 78746-5280
Phone (512) 732-2929

National Provider Directory

National Provider Directory

Locations

5656 Bee Caves Rd
Ste J200
West Lake Hills, TX 78746
Phone (512) 450-1077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1609059211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "STE J-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-732-2929",
            "fax_number": "512-732-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "STE J-200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-732-2929",
            "fax_number": "512-732-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS RHUEMATOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-732-2929"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "H7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.