THE CACTUS CLINIC NPI 1053442962

NPI Information

  • NPI: 1053442962
  • Provider Name: THE CACTUS CLINIC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 12016 W HIGHWAY 290
    SUITE 3
    AUSTIN, TX
    ZIP 78737
  • Phone: (512) 301-1515

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NPI Details

THE CACTUS CLINIC is a general practice in Austin, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE CACTUS CLINIC NPI is 1053442962. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12016 W HIGHWAY 290
SUITE 3
AUSTIN, TX
ZIP 78737-832
Phone: (512) 301-1515
Fax: (512) 535-7045

The provider's authorized official is Shannon Lee Casey .
The authorized official title is Vice President and has the following contact phone number (512) 301-1515.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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