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Organization
TXIM, PLLC
Active
Organization
TXIM, PLLC
Active
Other names
Central Texas Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J. WISEMAN MD (OWNER)
(512) 366-5911
Entity
Organization
Contact information
Practice address
1001 CYPRESS CREEK RD, SUITE #403, CEDAR PARK, TX 78613-4466
(512) 366-5911
(512) 366-3823
Mailing address
1001 CYPRESS CREEK RD, SUITE #403, CEDAR PARK, TX 78613-4466
(512) 366-5911
(512) 366-3823
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F0084
TX
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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