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NPI Code Detail

MEDICARE: TOTAL MD PHYSICIANS GROUP, PLLC

MEDICARE: TOTAL MD PHYSICIANS GROUP, PLLC
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1982031852
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL MD PHYSICIANS GROUP, PLLC
Provider Business Mailing Address
First Line : 8300 N LAMAR BLVD STE 200A
Second Line :
City : AUSTIN
State : TX
Zip : 78753-5976
Country : US
Telephone Number : 512-782-9312
Fax Number : 512-782-9316
Provider Business Practice Location Address
First Line : 8300 N LAMAR BLVD STE 200A
Second Line :
City : AUSTIN
State : TX
Zip : 78753-5976
Country : US
Telephone Number : 512-782-9312
Fax Number : 512-782-9316
Authorized Official
Title or Position : CFO
Name : MICHAEL SEAN WIGGIN
Credential :
Telephone Number : 512-575-9555
Provider Enumeration Date : 10/08/2013
Last Update Date : 08/19/2022

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Directions to “TOTAL MD PHYSICIANS GROUP, PLLC ” Practice Location

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