INDIEMD TX MANAGEMENT LLC NPI 1740903434

NPI Information

  • NPI: 1740903434
  • Provider Name: INDIEMD TX MANAGEMENT LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 309 WATER ST STE 108
    BOERNE, TX
    ZIP 78006
  • Phone: (877) 988-7420

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NPI Details

INDIEMD TX MANAGEMENT LLC is a general practice in Boerne, 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 INDIEMD TX MANAGEMENT LLC NPI is 1740903434. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

309 WATER ST STE 108
BOERNE, TX
ZIP 78006-866
Phone: (877) 988-7420

The provider's authorized official is Jason Ryan Frazier .
The authorized official title is Owner and has the following contact phone number (877) 988-7420.

The enumeration date for this NPI number is 9/19/2022 and was last updated on 8/28/2024.

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
1202D00000XIntegrative MedicineNo
2207Q00000XFamily MedicineNo
3207V00000XObstetrics & GynecologyNo
4208D00000XGeneral PracticeYes
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo

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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