Organization Active NPI

Alzheimer'S Diagnostic Clinic

  • Community/Behavioral Health Agency
  • Wichita Falls, TX
National Provider Identifier
1154538429
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C6537 Issued in TX
Legal business name
ALZHEIMER'S DIAGNOSTIC CLINIC
Practice address
3300 Seymour Hwy
Wichita Falls, TX 76309-1608
Phone
(940) 322-1131
Fax
(940) 322-4953
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Jack R Tomlinson, M.D.
Title
Medical Director
Phone
(940) 322-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C6537 TX Primary

Addresses

Primary practice location

3300 Seymour Hwy
Wichita Falls, TX 76309-1608

Mailing address

3300 Seymour Hwy
Wichita Falls, TX 76309-1608
Phone (940) 322-1131

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1154538429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SEYMOUR HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091608",
            "telephone_number": "940-322-1131",
            "fax_number": "940-322-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SEYMOUR HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091608",
            "telephone_number": "940-322-1131",
            "fax_number": "940-322-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHEIMER'S DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "940-322-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "C6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.