Healthcare Provider Details

I. General information

NPI: 1982911947
Provider Name (Legal Business Name): INTERNALMED SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2010
Last Update Date: 09/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 BEE CAVE RD
AUSTIN TX
78746-5542
US

IV. Provider business mailing address

PO BOX 163441
AUSTIN TX
78716-3441
US

V. Phone/Fax

Practice location:
  • Phone: 512-363-5779
  • Fax: 512-292-4458
Mailing address:
  • Phone: 512-363-5779
  • Fax: 512-292-4458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH I SMILEY
Title or Position: MANAGING MEMBER
Credential: DO
Phone: 512-363-5779