Healthcare Provider Details

I. General information

NPI: 1730181793
Provider Name (Legal Business Name): FAMILY MEDICINE ASSOCIATES OF ROUND ROCK, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 WYOMING SPRINGS DR STE 600
ROUND ROCK TX
78681-4305
US

IV. Provider business mailing address

7200 WYOMING SPGS STE 600
ROUND ROCK TX
78681-4305
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-1995
  • Fax: 877-215-6813
Mailing address:
  • Phone: 512-244-1995
  • Fax: 877-215-6813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN/A
License Number StateTX

VIII. Authorized Official

Name: MR. CHAD R. LEWIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 512-244-1995