Txim, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

F0084 Issued in TX

Legal business name

TXIM, PLLC

Doing business as

Central Texas Integrative Medicine

Practice address

1001 Cypress Creek Rd
Suite #403
Cedar Park, TX 78613-4466

Phone

(512) 366-5911

Fax

(512) 366-3823

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard J. Wiseman, MD

Title

Owner

Phone

(512) 366-5911

Specialties & licenses 1

Addresses

Other names 1

• Central Texas Integrative Medicine Doing business as

Locations

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1962802744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CYPRESS CREEK RD",
            "address_2": "SUITE #403",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134466",
            "telephone_number": "512-366-5911",
            "fax_number": "512-366-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CYPRESS CREEK RD",
            "address_2": "SUITE #403",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134466",
            "telephone_number": "512-366-5911",
            "fax_number": "512-366-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TXIM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-366-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F0084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.