Austin Functional Medicine PLLC
General Practice in Austin, TX. Organization (NPI-2).
NPI number1093697450
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1093697450
- Entity type
- Organization (NPI-2)
- Legal business name
- Austin Functional Medicine PLLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
5808 Balcones Dr Ste 205Austin, TX 78731-4265
Phone 737-333-2133
Mailing address
5808 Balcones Dr Ste 205Austin, TX 78731-4265
Phone 737-333-2133
Authorized official
Hashem Dadoush
Managing Partner
7333332133
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