| Family Medicine Associates Of Round Rock, P.a. | |
|
7200 Wyoming Spgs Ste 600 Round Rock TX 78681-4305 | |
| (512) 244-1995 | |
| (512) 244-2090 |
| Full Name | Family Medicine Associates Of Round Rock, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 7200 Wyoming Spgs, Round Rock, Texas |
| Authorized Official Name and Position | Chad R. Lewis (ADMINISTRATOR) |
| Authorized Official Contact | 5122441995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates Of Round Rock, P.a. 7200 Wyoming Spgs Ste 600 Round Rock TX 78681-4305 Ph: (512) 244-1995 | Family Medicine Associates Of Round Rock, P.a. 7200 Wyoming Spgs Ste 600 Round Rock TX 78681-4305 Ph: (512) 244-1995 |
| NPI Number | 1730181793 |
|---|---|
| Provider Enumeration Date | 06/02/2005 |
| Last Update Date | 07/27/2010 |
| Medicare PECOS PAC ID | 6608851944 |
|---|---|
| Medicare Enrollment ID | O20040622000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730181793 | NPI | - | NPPES |
| 00L37S | Other | TX | FMA BLUE HMO |
| 00L37S | Other | TX | FMA BLUE PPO |
| 5859685 | Other | TX | FMA CIGNA HMO |
| 5512136 | Other | TX | FMA AETNA HMO |
| 083725401 | Medicaid | TX | |
| 5512136 | Other | TX | FMA AETNA PPO |
| 5859685 | Other | TX | FMA CIGNA PPO |
| CG5740 | Other | TX | FMA RRB MEDICARE UNIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N/A (Texas) | Primary |
| Provider Name | Flint K. Deshazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669474623 PECOS PAC ID: 9537293717 Enrollment ID: I20100811000113 |
| Provider Name | James A. Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629073929 PECOS PAC ID: 7719011899 Enrollment ID: I20100811000120 |
| Provider Name | Christopher G. Putney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295737245 PECOS PAC ID: 4082748165 Enrollment ID: I20100811000130 |
| Provider Name | Elbert R David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861494924 PECOS PAC ID: 4981738069 Enrollment ID: I20100811000141 |
| Provider Name | Steven Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245420108 PECOS PAC ID: 0244404218 Enrollment ID: I20120509000339 |
| Provider Name | Mitchell Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184150138 PECOS PAC ID: 3072885474 Enrollment ID: I20200623002254 |
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