Organization Active NPI

DWSP PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Temple, TX
National Provider Identifier
1013204015
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
DWSP PLLC
Practice address
617 N 3Rd St
Temple, TX 76501-3156
Phone
(254) 935-2655
Fax
(254) 935-2660
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Judy T. Postle, RN
Title
Designated Official
Phone
(469) 744-0237

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

617 N 3Rd St
Temple, TX 76501-3156

Mailing address

617 N 3Rd St
Temple, TX 76501-3156
Phone (469) 744-2777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1013204015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N 3RD ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765013156",
            "telephone_number": "469-744-2777",
            "fax_number": "254-953-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N 3RD ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765013156",
            "telephone_number": "254-935-2655",
            "fax_number": "254-935-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWSP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "POSTLE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DESIGNATED OFFICIAL",
        "authorized_official_telephone_number": "469-744-0237",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.