Twin Fountains Primary Care Clinic of Beeville PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TWIN FOUNTAINS PRIMARY CARE CLINIC OF BEEVILLE PLLC

Practice address

1602 E Houston St
Suite C
Beeville, TX 78102-5326

Phone

(361) 358-9200

Fax

(361) 362-1671

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John L McNeill, MD

Title

Owner

Phone

(361) 578-5730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1104267574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N LAURENT ST",
            "address_2": "SUITE 550",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015468",
            "telephone_number": "361-572-0333",
            "fax_number": "361-572-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E HOUSTON ST",
            "address_2": "SUITE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025326",
            "telephone_number": "361-358-9200",
            "fax_number": "361-362-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN FOUNTAINS PRIMARY CARE CLINIC OF BEEVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-578-5730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Beeville, TX
• Providers in Beeville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.