Organization Active NPI

Texan ENT & Allergy Associates

  • Otolaryngology Physician
  • Kyle, TX
National Provider Identifier
1609175280
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J4559 Issued in TX
Legal business name
TEXAN ENT & ALLERGY ASSOCIATES
Practice address
1180 Seton Parkway
Suite 330
Kyle, TX 78640-6179
Phone
(512) 550-0321
Fax
(512) 268-4600
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Ms. Allie Vitek
Title
Office Administrator
Phone
(512) 413-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X J4559 TX Primary

Addresses

Primary practice location

1180 Seton Parkway
Suite 330
Kyle, TX 78640-6179

Mailing address

1180 Seton Parkway
Suite 330
Kyle, TX 78640-6179
Phone (512) 550-0321

Other names 1

  • Texan ENT & Allergy Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120821000625 TX Part B Supplier - Clinic/Group Practice 2567619844 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX; Hutto, TX; Kyle, TX; Lockhart, TX

National Provider Directory

National Provider Directory

Locations

7900 FM 1826
#260
Austin, TX 78737
Phone (512) 550-0321

10801 N Mopac Expy
Ste 150
Austin, TX 78759
Phone (512) 346-7936

20808 N State Highway 130
Hutto, TX 78634
Phone (512) 346-7936

149 Bulbine Dr
Ste 200
Leander, TX 78641
Phone (512) 346-7936

Practitioners & affiliated clinicians

Practitioners 3

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": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1609175280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SETON PARKWAY",
            "address_2": "SUITE 330",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "512-550-0321",
            "fax_number": "512-268-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PARKWAY",
            "address_2": "SUITE 330",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "512-550-0321",
            "fax_number": "512-268-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN ENT & ALLERGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "VITEK",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-413-1342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texan ENT & Allergy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.