Organization Active NPI

Palo Pinto Surgical Associates, P.a.

  • Vascular Surgery Physician
  • Mineral Wells, TX
National Provider Identifier
1154428134
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.