Health Complete Family Medical Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1221 Issued in TX

Legal business name

HEALTH COMPLETE FAMILY MEDICAL CARE

Practice address

12414 Alderbrook Dr Ste 100
Austin, TX 78758-2482

Phone

(512) 346-5735

NPI assigned

Apr 16, 2017

Organization subpart

No

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

Authorized official

Name

James Edward Williams, MD

Title

President

Phone

(631) 882-4670

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1891229969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12414 ALDERBROOK DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582482",
            "telephone_number": "512-346-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 ALDERBROOK DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582482",
            "telephone_number": "512-346-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH COMPLETE FAMILY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-16",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-882-4670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.