Organization Active NPI

Rational Intergrative Medicine PLLC

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1609115930
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4299 Issued in TX
Legal business name
RATIONAL INTERGRATIVE MEDICINE PLLC
Practice address
4101 Marathon Blvd
Austin, TX 78756-3719
Phone
(512) 323-9222
Fax
(512) 323-9232
NPI assigned
Feb 6, 2013
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Dr. Gregory Trent Davis, M.D.
Title
President
Phone
(323) 251-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P4299 TX Primary

Addresses

Primary practice location

4101 Marathon Blvd
Austin, TX 78756-3719

Mailing address

PO Box 303460
Austin, TX 78703-0058
Phone (512) 323-9222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1609115930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303460",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030058",
            "telephone_number": "512-323-9222",
            "fax_number": "512-323-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MARATHON BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563719",
            "telephone_number": "512-323-9222",
            "fax_number": "512-323-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATIONAL INTERGRATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-251-7360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4299",
            "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 Apr 3, 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.