MEDICARE: INTRAMED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1306773411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTRAMED LLC

Provider Business Mailing Address
First Line	:	2021 GUADALUPE STREET
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705
Country	:	US
Telephone Number	:	512-676-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 GUADALUPE STREET
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705
Country	:	US
Telephone Number	:	512-676-3505
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMIN OFF
Name	:	KASEY ROBERTSON
Credential	:	CHIEF ADMIN OFFICER
Telephone Number	:	210-422-4613

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “INTRAMED LLC ” Practice Location

Language	Start Address	Practice Location

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