John F Nielsen M D Family Medicine PA
Organization Active NPI Family Medicine Physician · Carthage, TX
NPI 1003006065 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1003006065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- J8333 (TX)
- Legal business name
- JOHN F NIELSEN M D FAMILY MEDICINE PA
- Practice address
- 702 Davis St Ste 4
Carthage, TX 75633-1461 - Phone
- (903) 694-4991
- Fax
- (903) 694-4995
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John Francis Nielsen, M.D
- Title
- President
- Phone
- (903) 694-4991
National Provider Directory
Locations
702 Davis St
Ste 4
Carthage, TX 75633
Phone (903) 693-0520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | J8333 | TX | Yes |
Addresses
Primary practice location
702 Davis St Ste 4
Carthage, TX 75633-1461
Mailing address
702 Davis St Ste 4
Carthage, TX 75633-1461
Phone (903) 694-4991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160376301 | Medicaid | TX | |
| 0052JK | Other | TX | BLUE CROSS |
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- Gina T Jackson-Smith
- Jason Phillips M D P a
- Karen Lynn Johnson
- Bryan Keith Jones
- Erin Brynne Jones
- Jasmine S Jones
- Kimberly Parker Jones
All providers in Carthage, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.