Provider Demographics
NPI:1407092166
Name:MEDICINE IN MOTION, MARTHA PYRON MD
Entity Type:Organization
Organization Name:MEDICINE IN MOTION, MARTHA PYRON MD
Other - Org Name:MEDICINE IN MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:I
Authorized Official - Last Name:PYRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-257-2500
Mailing Address - Street 1:305 W 55TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1101
Mailing Address - Country:US
Mailing Address - Phone:512-257-2500
Mailing Address - Fax:512-257-2504
Practice Address - Street 1:711 W 38TH ST STE G4
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1134
Practice Address - Country:US
Practice Address - Phone:512-257-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-31
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207QS0010X
TXK9877261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty