Organization
PUREFYT COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GE'O-VANNA SMITH (CLINIC DIRECTOR)
(512) 998-5100
Entity
Organization
Contact information
Practice address
14205 N MOPAC EXY, STE. 570 PMB #565290, AUSTIN, TX 78728
(512) 775-3704
(737) 800-1011
Mailing address
708 LOREY LN, CALDWELL, TX 77836-1384
(512) 775-3704
(737) 800-1011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TH0004X
Health Psychologist
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
10/18/2022
Last updated
11/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us