NPIMap

Organization Active NPI

Innovista Medical Center of Texas PA

  • Urgent Care Clinic/Center
  • Richardson, TX
National Provider Identifier
1144875642
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
INNOVISTA MEDICAL CENTER OF TEXAS PA
Practice address
350 S Plano Rd
Richardson, TX 75081-4505
Phone
(305) 470-2929
NPI assigned
Aug 2, 2019
Organization subpart
Yes
Parent organization
INNOVISTA MEDICAL CENTER OF TEXAS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mia Willhite
Title
Owner
Phone
(269) 720-7042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

350 S Plano Rd
Richardson, TX 75081-4505

Mailing address

12586 Westheimer Rd
Houston, TX 77077-5865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406000046 TX Part B Supplier - Clinic/Group Practice 6901235423 Receives reassigned benefits from 26 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Irving, TX; Spring, TX; Richardson, TX; Mesquite, TX; Katy, TX; Houston, TX

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Part of
Innovista Medical Center of Texas PA

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1144875642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12586 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814505",
            "telephone_number": "305-470-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVISTA MEDICAL CENTER OF TEXAS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVISTA MEDICAL CENTER OF TEXAS PA",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "WILLHITE",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-720-7042"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.