Organization Active NPI

Texoma Liver Center PLLC

  • Internal Medicine Physician
  • Denison, TX
National Provider Identifier
1174035117
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEXOMA LIVER CENTER PLLC
Practice address
4616 S US Highway 75 Ste 203
Denison, TX 75020-4582
Phone
(903) 462-6310
Fax
(903) 462-6311
NPI assigned
Oct 31, 2017
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Hesham Elgouhari, MDNPI 1104096726
Title
Owner
Phone
(903) 416-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Hepatology Physician 207RI0008X NU

Addresses

Primary practice location

4616 S US Highway 75 Ste 203
Denison, TX 75020-4582

Mailing address

4616 S US Highway 75 Ste 203
Denison, TX 75020-4582
Phone (903) 462-6310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410000715 TX Part B Supplier - Clinic/Group Practice 5890058630 Receives reassigned benefits from 3 practitioners
Practice locations: Celina, TX; Sherman, TX; Plano, TX; McKinney, TX; Denison, TX; Dension, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2216187Texoma Liver Center4616 S US Hwy 75 Suite 203 Room 1, Denison, TX 75020Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

1500 S Dallas Pkwy
Celina, TX 75009
Phone (469) 204-2021

Practitioners & affiliated clinicians

Practitioners 3

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1174035117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 S US HIGHWAY 75 STE 203",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204582",
            "telephone_number": "903-462-6310",
            "fax_number": "903-462-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 S US HIGHWAY 75 STE 203",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204582",
            "telephone_number": "903-462-6310",
            "fax_number": "903-462-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA LIVER CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "ELGOUHARI",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-416-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.