Organization Active NPI

Alice OBGYN Specialty Clinic, PA

  • Specialist
  • Alice, TX
National Provider Identifier
1093936775
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L6230 Issued in TX
Legal business name
ALICE OBGYN SPECIALTY CLINIC, PA
Practice address
2510 E Main St
Suite 106
Alice, TX 78332-4187
Phone
(361) 664-6671
Fax
(361) 664-6686
NPI assigned
May 1, 2007
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Heather C Hasette IV
Title
Office Manager
Phone
(361) 664-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L6230 TX Primary

Addresses

Primary practice location

2510 E Main St
Suite 106
Alice, TX 78332-4187

Mailing address

PO Box 970
Alice, TX 78333-0970
Phone (361) 664-6671

National Provider Directory

National Provider Directory

Locations

2510 E Main St
Ste 106
Alice, TX 78332
Phone (361) 661-8370

Practitioners & affiliated clinicians

Practitioners 1

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1093936775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783330970",
            "telephone_number": "361-664-6671",
            "fax_number": "361-664-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E MAIN ST",
            "address_2": "SUITE 106",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324187",
            "telephone_number": "361-664-6671",
            "fax_number": "361-664-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE OBGYN SPECIALTY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "HASETTE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-664-6671",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L6230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.