| Organization Name: | TXIM, PLLC |
| NPI Number: | 1962802744 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD J. WISEMAN (OWNER) |
| Mailing Address: | 1001 Cypress Creek Rd Suite #403 Cedar Park |
| State: | TX US |
| Postal Code: | 786134466 |
| Phone Number: | 5123665911 |
| Fax Number: | 5123663823 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F0084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |