MEDICARE: AMELIA SOUTHWEST PHYSICIANS, LPPC DBA HEALTHENE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1154066140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMELIA SOUTHWEST PHYSICIANS, LPPC DBA HEALTHENE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 26458
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755-0458
Country	:	US
Telephone Number	:	512-633-2388
Fax Number	:	877-682-4741

Provider Business Practice Location Address
First Line	:	5903 LONG CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-4920
Country	:	US
Telephone Number	:	512-699-0962
Fax Number	:

Authorized Official
Title or Position	:	MD/CEO
Name	:	DR. RANDOLPH B LIPSCHER
Credential	:	MD
Telephone Number	:	512-699-0942

Provider Enumeration Date	:	05/03/2022
Last Update Date	:	03/20/2026

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