Deactivated NPI 1790749711 Deactivated / Inactive NPI Male Practitioner

Dr. Michael A. Romain , MD

Internal Medicine • Austin, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Romain has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 14, 2006

NPI Deactivation Date October 30, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Romain, MD was a registered Internal Medicine practicing in Austin, TX. Throughout an active medical career spanning 19 years, Dr. Romain provided care at the practice location at 12221 MOPAC EXPRESSWAY NORTH until profile deactivation on 2025-10-30.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

12221 Mopac Expressway North

Austin, TX 787582483

Telephone 5129014009

Fax 5129013909

Associated Practice Facility / Clinic

🏢 The Austin Diagnostic Clinic, Pllc Facility NPI 1235103136

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	679	100	$145.42	$80.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	401	38	$204.76	$120.54
36415 Insertion of needle into vein for collection of blood sample	85	55	$9.00	$8.65
80053 Blood test, comprehensive group of blood chemicals	57	42	$42.95	$10.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	34	$221.62	$129.00
80061 Blood test, lipids (cholesterol and triglycerides)	49	34	$55.04	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$342.00	$140.20
84443 Blood test, thyroid stimulating hormone (TSH)	40	32	$67.00	$16.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	32	$31.62	$7.61
82550 Creatine kinase (cardiac enzyme) level, total	29	22	$27.17	$6.38
83036 Hemoglobin A1C level	24	16	$38.71	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$156.38	$93.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$271.89	$133.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$401.33	$177.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$71.33	$18.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	926	131	$141.00	$78.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	390	49	$202.00	$117.18
36415 Insertion of needle into vein for collection of blood sample	95	60	$9.00	$8.40
80053 Blood test, comprehensive group of blood chemicals	68	51	$45.00	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	62	48	$57.00	$13.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	43	$206.00	$130.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	41	$33.00	$7.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$324.00	$132.63
84443 Blood test, thyroid stimulating hormone (TSH)	43	38	$71.00	$16.46
82550 Creatine kinase (cardiac enzyme) level, total	39	29	$28.00	$6.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$268.00	$128.48
99239 Hospital discharge day management, more than 30 minutes	25	24	$205.00	$113.22
83036 Hemoglobin A1C level	24	20	$41.00	$9.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$393.00	$170.75
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$139.00	$86.92
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$183.00	$75.81
G0008 Administration of influenza virus vaccine	12	12	$70.00	$30.91
81003 Automated urinalysis test	11	11	$10.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,538	195	$141.00	$69.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	653	74	$202.00	$100.04
36415 Insertion of needle into vein for collection of blood sample	93	68	$9.00	$2.96
80061 Blood test, lipids (cholesterol and triglycerides)	64	54	$57.00	$13.20
80053 Blood test, comprehensive group of blood chemicals	62	54	$45.00	$10.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	55	$268.00	$130.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	45	$206.00	$127.41
99239 Hospital discharge day management, more than 30 minutes	54	50	$205.00	$100.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$324.00	$134.87
84443 Blood test, thyroid stimulating hormone (TSH)	44	39	$71.00	$16.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	37	$33.00	$7.67
82550 Creatine kinase (cardiac enzyme) level, total	38	33	$28.00	$6.42
83036 Hemoglobin A1C level	27	25	$41.00	$9.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$393.00	$192.27
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$139.00	$87.51
81001 Manual urinalysis test with examination using microscope, automated	19	19	$14.00	$3.14
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$183.00	$70.25
G0008 Administration of influenza virus vaccine	18	18	$70.00	$30.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,258	128	$141.00	$70.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	305	43	$202.00	$94.46
36415 Insertion of needle into vein for collection of blood sample	55	42	$9.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	50	39	$45.00	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	47	37	$57.00	$13.39
99239 Hospital discharge day management, more than 30 minutes	47	45	$205.00	$104.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$268.00	$132.48
82550 Creatine kinase (cardiac enzyme) level, total	34	27	$28.00	$6.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$206.00	$132.45
84443 Blood test, thyroid stimulating hormone (TSH)	24	21	$71.00	$16.80
83036 Hemoglobin A1C level	24	21	$41.00	$9.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	21	$33.00	$7.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$393.00	$196.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$251.00	$125.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,219	111	$141.00	$72.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	357	52	$202.00	$104.44
36415 Insertion of needle into vein for collection of blood sample	147	94	$9.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	70	$206.00	$110.94
80053 Blood test, comprehensive group of blood chemicals	96	72	$45.00	$10.50
80061 Blood test, lipids (cholesterol and triglycerides)	92	68	$57.00	$13.32
82550 Creatine kinase (cardiac enzyme) level, total	73	54	$28.00	$6.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	57	46	$33.00	$7.72
99239 Hospital discharge day management, more than 30 minutes	55	50	$205.00	$106.94
84443 Blood test, thyroid stimulating hormone (TSH)	52	46	$71.00	$16.71
83036 Hemoglobin A1C level	39	26	$41.00	$9.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$393.00	$202.43
99443 Telephone medical discussion with physician, 21-30 minutes	26	23	$200.00	$111.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$268.00	$137.77
81001 Manual urinalysis test with examination using microscope, automated	22	17	$14.00	$3.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$324.00	$118.44
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$139.00	$73.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	14	$251.00	$129.64
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$152.00	$71.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$78.00	$19.17
G0008 Administration of influenza virus vaccine	12	12	$70.00	$16.87
90662 Influenza vaccine split virus, preservative free	11	11	$93.00	$57.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	605	60	$141.00	$71.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	307	45	$202.00	$102.67
36415 Insertion of needle into vein for collection of blood sample	282	149	$9.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	134	$206.00	$108.01
80053 Blood test, comprehensive group of blood chemicals	176	117	$45.00	$11.45
80061 Blood test, lipids (cholesterol and triglycerides)	166	111	$57.00	$14.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$324.00	$118.32
82550 Creatine kinase (cardiac enzyme) level, total	123	82	$28.00	$7.04
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	105	83	$33.00	$8.46
84443 Blood test, thyroid stimulating hormone (TSH)	100	77	$71.00	$18.30
83036 Hemoglobin A1C level	83	54	$41.00	$10.57
99213 Established patient office or other outpatient visit, typically 15 minutes	44	38	$139.00	$71.96
81003 Automated urinalysis test	28	28	$10.00	$2.44
81001 Manual urinalysis test with examination using microscope, automated	28	25	$14.00	$3.45
G0008 Administration of influenza virus vaccine	27	27	$70.00	$16.73
80048 Blood test, basic group of blood chemicals (calcium, total)	25	16	$36.00	$9.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$172.00	$111.40
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	24	24	$68.00	$17.69
99239 Hospital discharge day management, more than 30 minutes	22	22	$205.00	$105.54
90662 Influenza vaccine split virus, preservative free	21	21	$93.00	$54.40
G0009 Administration of pneumococcal vaccine	19	19	$70.00	$16.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$78.00	$20.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$393.00	$200.02
G0444 Annual depression screening, 5 to 15 minutes	13	13	$53.00	$18.49
82306 Vitamin d-3 level	12	11	$115.00	$32.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	390	82	$110.76	$68.94
36415 Insertion of needle into vein for collection of blood sample	320	158	$7.33	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	143	$185.37	$106.82
80053 Blood test, comprehensive group of blood chemicals	204	135	$36.85	$12.72
80061 Blood test, lipids (cholesterol and triglycerides)	185	129	$45.62	$16.11
82550 Creatine kinase (cardiac enzyme) level, total	156	103	$23.39	$7.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	136	112	$24.74	$9.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$245.38	$117.03
83036 Hemoglobin A1C level	104	62	$31.24	$11.64
84443 Blood test, thyroid stimulating hormone (TSH)	88	77	$60.72	$20.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	28	$180.93	$91.91
99213 Established patient office or other outpatient visit, typically 15 minutes	74	51	$121.85	$72.29
G0008 Administration of influenza virus vaccine	69	68	$62.83	$19.66
81003 Automated urinalysis test	66	61	$6.59	$2.67
90662 Influenza vaccine split virus, preservative free	63	62	$87.54	$51.76
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	56	56	$50.73	$19.25
G0444 Annual depression screening, 5 to 15 minutes	50	50	$40.57	$18.13
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	50	50	$229.55	$126.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	23	$119.41	$90.89
G0103 Prostate cancer screening; prostate specific antigen test (psa)	36	36	$56.50	$22.26
80048 Blood test, basic group of blood chemicals (calcium, total)	32	22	$28.74	$10.16
99239 Hospital discharge day management, more than 30 minutes	25	24	$161.63	$98.70
81001 Manual urinalysis test with examination using microscope, automated	23	20	$13.56	$3.84
84403 Testosterone (hormone) level, total	19	11	$88.70	$31.23
84270 Sex hormone binding globulin (protein) level	19	11	$74.85	$26.29
87086 Bacterial colony count, urine	17	16	$20.04	$9.26
99306 Initial nursing facility visit, typically 45 minutes per day	16	15	$187.44	$164.06
87088 Bacterial urine culture	16	15	$19.13	$9.25
82570 Creatinine level to test for kidney function or muscle injury	15	15	$16.80	$6.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$149.05	$105.59
G0009 Administration of pneumococcal vaccine	14	14	$44.83	$20.67
90670 Pneumococcal vaccine for injection into muscle	12	12	$355.44	$198.97
82043 Urine microalbumin (protein) level	12	12	$16.98	$7.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	546	105	$72.83	$70.56
36415 Insertion of needle into vein for collection of blood sample	376	184	$3.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	162	$110.29	$105.13
80053 Blood test, comprehensive group of blood chemicals	276	172	$14.47	$9.79
80061 Blood test, lipids (cholesterol and triglycerides)	258	162	$18.34	$12.01
82550 Creatine kinase (cardiac enzyme) level, total	194	121	$8.93	$5.43
84443 Blood test, thyroid stimulating hormone (TSH)	149	112	$23.04	$22.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	148	124	$10.63	$10.42
83036 Hemoglobin A1C level	137	74	$13.32	$13.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	130	35	$92.65	$90.40
G0444 Annual depression screening, 5 to 15 minutes	123	123	$18.45	$18.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$118.03	$115.67
81003 Automated urinalysis test	108	93	$3.08	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	100	73	$74.46	$71.83
G0009 Administration of pneumococcal vaccine	84	84	$25.95	$25.43
G0008 Administration of influenza virus vaccine	82	82	$15.00	$14.52
90662 Influenza vaccine split virus, preservative free	79	79	$50.00	$46.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	40	$106.35	$101.17
G0103 Prostate cancer screening; prostate specific antigen test (psa)	52	52	$25.22	$24.72
90670 Pneumococcal vaccine for injection into muscle	52	52	$185.08	$181.37
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	46	46	$21.81	$21.37
99239 Hospital discharge day management, more than 30 minutes	40	38	$108.79	$105.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$97.77	$95.81
99306 Initial nursing facility visit, typically 45 minutes per day	33	32	$170.34	$161.46
80048 Blood test, basic group of blood chemicals (calcium, total)	28	24	$11.42	$10.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$204.25	$198.88
84403 Testosterone (hormone) level, total	22	14	$35.41	$34.70
84270 Sex hormone binding globulin (protein) level	22	14	$29.81	$29.21
87086 Bacterial colony count, urine	16	15	$11.07	$10.85
82306 Vitamin d-3 level	15	13	$37.28	$36.53
82043 Urine microalbumin (protein) level	15	12	$7.64	$7.49
82570 Creatinine level to test for kidney function or muscle injury	15	12	$7.10	$6.96
87088 Bacterial urine culture	14	13	$11.10	$10.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$137.81	$133.97

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX K1032

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. Paula Starche , MD

Internal Medicine

NPI 1033176607

Doctor of Medicine (M.D.)

Dr. Anjali Nemawarkar , MD

Internal Medicine

NPI 1093779555

Doctor of Medicine (M.D.)

Dr. Yolanda Clay-Po , MD

Internal Medicine

NPI 1164405833

Doctor of Medicine (M.D.)

Dr. Paul Stansberry , MD

Internal Medicine

NPI 1235196809

Doctor of Medicine (M.D.)

Dr. Malik Merchant , MD

Internal Medicine

NPI 1245238534

Doctor of Medicine (M.D.)

Nancy Dasso , FNP

Nurse Practitioner - Family

NPI 1245287150

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

⚠️

NPI Profile Deactivated October 30, 2025

Record deactivated on October 30, 2025

📍

Updated Practice Location January 26, 2022

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

📍

Updated Business Mailing Address January 26, 2022

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

📍

Updated Business Mailing Address April 03, 2017

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as MICHAEL ROMAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Hospitalist (License #K1032 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Internal Medicine (License #K1032 in TX)

✅

NPI Profile Active March 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2009

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

📍

Updated Business Mailing Address March 26, 2009

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

👤

Provider Name / Credentials Updated March 26, 2009

Recorded as MICHAEL ROMAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2009

Internal Medicine (License #K1032 in TX)

🟢

Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790749711

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2006

Last Update: March 26, 2009

Deactivation Date: October 30, 2025

Update or Correct Profile

Mailing Address

12221 Mopac Expressway North

Austin, TX 787582483

Phone: 5129014009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.