National Provider Identifier Database

INDIEMD TX MANAGEMENT LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

INDIEMD TX MANAGEMENT LLC
309 WATER ST STE 108
BOERNE, TX78006-2866
Phone: 877-988-7420
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Family Medicine 207Q00000X
Integrative Medicine 202D00000X
Nurse Practitioner 363L00000X
Obstetrics & Gynecology 207V00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for INDIEMD TX MANAGEMENT LLC

NPI Number 1740903434
Legal business name
LBN
INDIEMD TX MANAGEMENT LLC
Authorized official JASON FRAZIER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/19/2022
Last updated 08/28/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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