MEDICARE: AMELIA SOUTHWEST PHYSICIANS

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	2083B0002X	Obesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1730013160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMELIA SOUTHWEST PHYSICIANS

Provider Business Mailing Address
First Line	:	PO BOX 26458
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755-0458
Country	:	US
Telephone Number	:	512-633-2388
Fax Number	:	877-682-4741

Provider Business Practice Location Address
First Line	:	5903 LONG CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-4920
Country	:	US
Telephone Number	:	512-699-0962
Fax Number	:	877-682-4741

Authorized Official
Title or Position	:	CEO
Name	:	RANDOLPH B LIPSCHER
Credential	:
Telephone Number	:	512-699-0962

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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