Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Travis MD PLLC

Organization Internal Medicine Physician · NPI 1902596455

Lake Travis MD PLLC is an Internal Medicine Physician in Austin, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3807 Rr 620 N Ste 100
Austin, TX 78734
Phone: (512) 382-6985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1902596455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasneet Riar — Physician Owner · (425) 350-2100
Other names Atx Wellness Co.
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing address3005 South Lamar Blvd, Suite D109 #459, Austin, TX 78704

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