NPIMap

Organization Active NPI

Sallymed, PLLC

  • Primary Care Clinic/Center
  • Cameron, TX
National Provider Identifier
1063160786
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SALLYMED, PLLC
Practice address
1006 E 18TH St
Cameron, TX 76520-2016
Phone
(254) 495-7702
Fax
(254) 605-6212
NPI assigned
Mar 11, 2022
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Kathryn Matula Kirk, NPNPI 1912934084
Title
Owner/President
Phone
(254) 495-7702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1006 E 18TH St
Cameron, TX 76520-2016

Mailing address

1006 E 18TH St
Cameron, TX 76520-2016
Phone (254) 495-7702

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1063160786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 E 18TH ST",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "765202016",
            "telephone_number": "254-495-7702",
            "fax_number": "254-605-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 E 18TH ST",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "765202016",
            "telephone_number": "254-495-7702",
            "fax_number": "254-605-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLYMED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MATULA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "254-495-7702",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.