Preventiamed, Pa
LBN: Preventiamed, Pa
Preventiamed, Pa is an health care organization with primary practice located at 1250 S Capital Of Texas Hwy Building Iii, Suite 400, West Lake Hills TX 78746-6446. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Preventiamed, Pa can be contacted via phone (512) 308-6349, or through Martin, Dieter Robert via phone (512) 308-6349.
Contact Information
Primary practice address
1250 S Capital Of Texas Hwy Building Iii, Suite 400
West Lake Hills TX 78746-6446
Phone: (512) 308-6349
Fax:
Website:
Authorized official contact:
Name: Martin, Dieter Robert Doctor of Medicine (MD)
Phone: (512) 308-6349
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1134344625 |
|---|---|
| LBN Legal business name | Preventiamed, Pa |
| DBA Doing business as | |
| Authorized official | Martin, Dieter Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Oct 23rd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134344625 | NPPES |
| Texas | MEDICAID | 182571301 |
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