Alphatelemedtexas

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ALPHATELEMEDTEXAS

Practice address

11615 Angus Rd Ste 104R
Austin, TX 78759-4146

Phone

(703) 589-9964

Fax

(571) 252-7100

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Mubin Jiwani

Title

Owner

Phone

(703) 589-9964

Specialties & licenses 2

Addresses

Other names 1

• AlphatelemedTexas, LLC Doing business as

Locations

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1629670682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 RUNAWAY LN",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662420",
            "telephone_number": "703-589-9964",
            "fax_number": "571-252-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 104R",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594146",
            "telephone_number": "703-589-9964",
            "fax_number": "571-252-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHATELEMEDTEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "JIWANI",
        "authorized_official_first_name": "MUBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-589-9964"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlphatelemedTexas, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AlphatelemedTexas, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Alpar, MD
• Peter E Alperin, M.D.
• Alpha 180 LLC
• Alpha M Supply LLC
• Alpha Medical Supply
• Yasmeen Alqaisi, PHARMACY INTERN
• Samir Alrajab, DMD
• Sakshie Alreja, DDS
• MHD Majed Alsahn
• Sarah Alsalihi

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.