Healthcare Provider Details

I. General information

NPI: 1497283865
Provider Name (Legal Business Name): FEDERAL COMP AND WELLNESS AUSTIN, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 W WILLIAM CANNON DR STE 140
AUSTIN TX
78749-1902
US

IV. Provider business mailing address

18817 N HEATHERWILDE BLVD STE 150
PFLUGERVILLE TX
78660-1750
US

V. Phone/Fax

Practice location:
  • Phone: 512-893-5750
  • Fax: 512-870-9770
Mailing address:
  • Phone: 512-523-4878
  • Fax: 512-870-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS E MARTENS
Title or Position: OWNER/CEO
Credential: DO
Phone: 512-523-4878