Healthcare Provider Details

I. General information

NPI: 1578428751
Provider Name (Legal Business Name): TEXAS ENDOCRINE AND REHAB PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR STE 8818
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR STE 8818
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 817-520-8886
  • Fax: 601-429-2463
Mailing address:
  • Phone: 817-520-8886
  • Fax: 601-429-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ABHIRAM JAVVAJI
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 817-520-8886