Healthcare Provider Details

I. General information

NPI: 1326958596
Provider Name (Legal Business Name): GENTIX HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

2501 CHATHAM RD STE 6341
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 432-315-4720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BETTY F
Title or Position: CEO
Credential:
Phone: 423-252-4242