# TXIM, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Texas Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962802744
- **Authorized official:** DR. RICHARD J. WISEMAN MD (OWNER)
- **Authorized official phone:** (512) 366-5911

## Contact information

- **Practice address:** 1001 CYPRESS CREEK RD, SUITE \#403, CEDAR PARK, TX 78613-4466
- **Practice address phone:** (512) 366-5911
- **Practice address fax:** (512) 366-3823
- **Mailing address:** 1001 CYPRESS CREEK RD, SUITE \#403, CEDAR PARK, TX 78613-4466
- **Mailing address phone:** (512) 366-5911
- **Mailing address fax:** (512) 366-3823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F0084 | TX | Yes |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 08/28/2014