John W. Kristensen and Albert L. Smith

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G0133 Issued in TX

Legal business name

JOHN W. KRISTENSEN AND ALBERT L. SMITH

Practice address

165 S 6TH St
Raymondville, TX 78580-3521

Phone

(956) 689-5506

Fax

(956) 689-1988

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen R Smith, RT(R)

Title

Office Manager

Phone

(956) 689-5506

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003976051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. KRISTENSEN AND ALBERT L. SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-689-5506",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.