Active NPI
Wellness Med Clinics LLC
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1609297902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H3680
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H3680 | TX | Primary |
| Physician Assistant | 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 DirectoryLocations
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.