PUREFYT COMMUNITY CARE NPI 1104542448

NPI Information

  • NPI: 1104542448
  • Provider Name: PUREFYT COMMUNITY CARE
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 14205 N MOPAC EXY
    STE. 570 PMB #565290
    AUSTIN, TX
    ZIP 78728
  • Phone: (512) 775-3704

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NPI Details

PUREFYT COMMUNITY CARE is a multi-specialty clinic center in Austin, TX. PUREFYT COMMUNITY CARE NPI is 1104542448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14205 N MOPAC EXY
STE. 570 PMB #565290
AUSTIN, TX
ZIP 78728
Phone: (512) 775-3704
Fax: (737) 800-1011

The provider's authorized official is Ge'o-vanna Smith .
The authorized official title is Clinic Director and has the following contact phone number (512) 998-5100.

The enumeration date for this NPI number is 10/18/2022 and was last updated on 11/18/2024.

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
1101YM0800XCounselorMental HealthNo
2103TH0004XPsychologistHealthNo
3208D00000XGeneral PracticeNo
4208VP0000XPain MedicinePain MedicineNo
5225100000XPhysical TherapistNo
6261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
7261QI0500XClinic/CenterInfusion TherapyNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261QM0850XClinic/CenterAdult Mental HealthNo
10261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
11261QM1300XClinic/CenterMulti-SpecialtyYes
12261QP2000XClinic/CenterPhysical TherapyNo
13261QP2400XClinic/CenterPrison HealthNo
14261QR1300XClinic/CenterRural HealthNo
15364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, CommunityNo

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: 3/30/2025

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