Individual provider Active NPI

Alice Renee Splinter, MD

  • Pediatrics Physician
  • Gun Barrel City, TX
National Provider Identifier
1033506019
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R6109 Issued in TX
Practice address
801 W. Main St.
Gun Barrel City, TX 75156-5312
Phone
(903) 887-1011
Fax
(903) 603-9441
NPI assigned
Apr 17, 2015
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R6109 TX Primary

Addresses

Primary practice location

801 W. Main St.
Gun Barrel City, TX 75156-5312

Mailing address

PO Box 1610
Athens, TX 75751-9004
Phone (903) 887-1011

Other practice location 1

115 Medical Cir Ste 100
Athens, TX 75751-9004
Phone (903) 603-7067

Other identifiers 1

IdentifierTypeStateIssuer
387130301MedicaidTX

Other names 1

  • Alice Renee Hubbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727000215 TX Practitioner - Pediatric Medicine 9931456555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Community Clinic, Inc. CurrentSince Apr 1, 2020 Accepting new patients
East Texas Community Clinic, Inc. CurrentSince Apr 1, 2020 Accepting new patients

Locations

115 Medical Cir
Ste 100
Athens, TX 75751
Phone (903) 603-7067

801 W Main St
Gun Barrel City, TX 75156
Phone (903) 887-1011

Interoperability endpoints

  • Direct secure messaging: asplinter355586@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1033506019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519004",
            "telephone_number": "903-887-1011",
            "fax_number": "903-603-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W. MAIN ST.",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565312",
            "telephone_number": "903-887-1011",
            "fax_number": "903-603-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Medical Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757519004",
            "country_code": "US",
            "telephone_number": "903-603-7067",
            "fax_number": "903-603-7067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPLINTER",
        "first_name": "ALICE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R6109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387130301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "HUBBELL",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gun Barrel City, TX

Sources for this page

Verify at the official NPI Registry.