Organization Active NPI

Wellness Med Clinics LLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1609297902
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H3680 Issued in TX
Legal business name
WELLNESS MED CLINICS LLC
Practice address
5510 S Ih 35 Ste 250a
Austin, TX 78745-3344
Phone
(512) 301-1166
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mrs. Candice Aguirre
Title
Coo
Phone
(512) 301-1166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H3680 TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA03274 TX

Addresses

Primary practice location

5510 S Ih 35 Ste 250a
Austin, TX 78745-3344

Mailing address

5510 S Ih 35 Ste 250a
Austin, TX 78745-3344
Phone (512) 301-1166

National Provider Directory

National Provider Directory

Locations

5510 S Interstate 35
Ste 250
Austin, TX 78745
Phone (512) 301-1166

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1609297902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 S IH 35 STE 250A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453344",
            "telephone_number": "512-301-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S IH 35 STE 250A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453344",
            "telephone_number": "512-301-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MED CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "512-301-1166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3680",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03274",
            "primary": false
        }
    ],
    "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 Jan 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.