Organization Active NPI

Texas Rose Family Clinic PLLC

  • Family Medicine Physician
  • Vernon, TX
National Provider Identifier
1134893977
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS ROSE FAMILY CLINIC PLLC
Practice address
1900 Pease St Ste 208
Vernon, TX 76384-4626
Phone
(940) 553-7036
Fax
(940) 553-7056
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Kimberly Babb
Title
Office Manager
Phone
(325) 234-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1900 Pease St Ste 208
Vernon, TX 76384-4626

Mailing address

1900 Pease St Ste 208
Vernon, TX 76384-4626
Phone (940) 553-7036

National Provider Directory

National Provider Directory

Locations

1900 Pease St
Ste 208
Vernon, TX 76384
Phone (940) 553-7036

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1134893977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PEASE ST STE 208",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844626",
            "telephone_number": "940-553-7036",
            "fax_number": "940-553-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PEASE ST STE 208",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844626",
            "telephone_number": "940-553-7036",
            "fax_number": "940-553-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ROSE FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "325-234-7580"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.