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

Justin K Sandefur

Individual provider Pediatric Critical Care Medicine Physician · NPI 1497222400

Justin K Sandefur is a Pediatric Critical Care Medicine Physician in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
3

Practice location Address checks out

4900 Mueller Blvd
Austin, TX 78723-3079
Phone: (512) 324-0515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP139467 (TX)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence AP139467 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP139467 (TX)

Record details

NPI number1497222400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 28, 2018
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address4624 Page St, Austin, TX 78723-5484

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