Active NPI
Palo Pinto Surgical Associates, P.a.
- Vascular Surgery Physician
- Mineral Wells, TX
National Provider Identifier
1154428134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- PALO PINTO SURGICAL ASSOCIATES, P.A.
- Practice address
- 101 Holly Hill Rd
Suite a
Mineral Wells, TX 76067-5043 - Phone
- (940) 325-0742
- Fax
- (940) 328-1030
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph Hamilton Brookshire III, DO
- Title
- Owner
- Phone
- (940) 325-0742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
101 Holly Hill Rd
Suite a
Mineral Wells, TX 76067-5043
Mailing address
101 Holly Hill Rd
Suite a
Mineral Wells, TX 76067-5043
Phone (940) 325-0742
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Greenville, TX
- NPI 1104898725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375920000000",
"number": "1154428134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOLLY HILL RD",
"address_2": "SUITE A",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760675043",
"telephone_number": "940-325-0742",
"fax_number": "940-328-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOLLY HILL RD",
"address_2": "SUITE A",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760675043",
"telephone_number": "940-325-0742",
"fax_number": "940-328-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALO PINTO SURGICAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2013-08-08",
"status": "A",
"authorized_official_last_name": "BROOKSHIRE",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "HAMILTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-325-0742",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Wells, TX
- Palo Pinto Hospital District Community Clinic
- Palo Pinto Isd
- Palo Pinto Nursing Center, L.P. (Palo Pinto Nursing Center)
- Palo Pinto Orthopedic Specialists, P.a.
- Palo Pinto SNF LLC (Palo Pinto Nursing Center)
- Rebecca A Patterson
- Pecan Valley MHMR Region
- Carla Hay Perdue, NP
- Phipps Footcare
- Yvette N Phipps, C.PED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.