# 360 MEDICAL GROUP TEXAS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164354361
- **Authorized official:** JAMES VILLAR (ADMINISTRATOR)
- **Authorized official phone:** (773) 645-1192

## Contact information

- **Practice address:** 5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
- **Practice address phone:** (773) 645-1192
- **Mailing address:** 5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2026
- **Last updated:** 06/01/2026