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JUVENTAS PLASMA LLC
NPI 1558865717
Family Medicine in San Marcos, TX

Active since March 22, 2018
1920 CORPORATE DRIVE, SUITE 101 A, SAN MARCOS, TX 78666(512) 667-9247 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juventas Plasma Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUVENTAS PLASMA LLC (NPI 1558865717) is a healthcare organization registered as a family medicine in San Marcos, Texas and active in the NPI registry since March 2018. The organization lists Mark Randolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1558865717
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJUVENTAS PLASMA LLC
Location Address1920 CORPORATE DRIVE, SUITE 101 ASan Marcos, TX 78666
Mailing Address1920 Corporate Drive, Suite 101 ASan Marcos, TX 78666 · (512) 667-9247 · Fax (512) 667-7799
Phone(512) 667-9247
Organization SubpartNo
Authorized OfficialMark RandolphOwner · (512) 667-9247
Enumeration DateMarch 22, 2018
✔ NPI 1558865717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L8483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1920 CORPORATE DRIVE, San Marcos, TX 78666
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juventas Plasma LLC's NPI number?

The NPI number for Juventas Plasma LLC is 1558865717. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Juventas Plasma LLC located?

Juventas Plasma LLC is located at 1920 Corporate Drive Suite 101 A, San Marcos, TX 78666. The listed phone number is (512) 667-9247.

What is Juventas Plasma LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Juventas Plasma LLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.