Active NPI
Mainland Infectious Disease Associates, PA
- Infectious Disease Physician
- Texas City, TX
National Provider Identifier
1023256641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- J9932
- Legal business name
- MAINLAND INFECTIOUS DISEASE ASSOCIATES, PA
- Practice address
- 1125 Highway 3 N Ste 100a
Texas City, TX 77591-4047 - Phone
- (979) 202-7613
- Fax
- (409) 419-1108
- NPI assigned
- Feb 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Scott Warner, M.D.
- Title
- Owner
- Phone
- (979) 202-7613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | J9932 | TX | Primary |
Addresses
Primary practice location
1125 Highway 3 N Ste 100a
Texas City, TX 77591-4047
Mailing address
PO Box 57579
Webster, TX 77598-7579
Phone (979) 202-7613
National Provider Directory
National Provider DirectoryLocations
1125 Highway 3 N
Ste 100A
Texas City, TX 77591
Phone (409) 539-6278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1023256641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57579",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775987579",
"telephone_number": "979-202-7613",
"fax_number": "409-419-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 HIGHWAY 3 N STE 100A",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775914047",
"telephone_number": "979-202-7613",
"fax_number": "409-419-1108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINLAND INFECTIOUS DISEASE ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "979-202-7613",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "J9932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.