Texoma Nephrology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

D9710 Issued in TX

Legal business name

TEXOMA NEPHROLOGY ASSOCIATES

Practice address

102 Memorial Dr
Suite 201
Denison, TX 75020-2025

Phone

(903) 463-5057

Fax

(903) 463-7661

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

William Mackey Watkins, M.D.

Title

President

Phone

(903) 463-5057

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124070867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202025",
            "telephone_number": "903-463-5057",
            "fax_number": "903-463-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202025",
            "telephone_number": "903-463-5057",
            "fax_number": "903-463-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MACKEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-463-5057",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D9710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BL;UE SHIELD",
            "identifier": "81Z5700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Texoma Liver Center PLLC
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• Texomacare

• Specialist in Denison, TX
• Providers in Denison, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.