Organization Active NPI

Violeta Baddour MD, PA

  • Rheumatology Physician
  • Abilene, TX
National Provider Identifier
1174570790
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
K7242 Issued in TX
Legal business name
VIOLETA BADDOUR MD, PA
Practice address
1850 Hickory St
Abilene, TX 79601-2325
Phone
(325) 670-4590
Fax
(325) 670-4587
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Violeta Baddour Stevens, MD
Title
Director
Phone
(830) 569-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X K7242 TX Primary

Addresses

Primary practice location

1850 Hickory St
Abilene, TX 79601-2325

Mailing address

PO Box 3851
Abilene, TX 79604-3851
Phone (830) 569-4077

Other identifiers 3

IdentifierTypeStateIssuer
00066XOtherMEDICARE
1665515MedicaidTX
45D1029696OtherTXCLIA

National Provider Directory

National Provider Directory

Locations

1103 Oak St
Jourdanton, TX 78026
Phone (830) 769-1217

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1174570790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3851",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043851",
            "telephone_number": "830-569-4077",
            "fax_number": "830-569-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012325",
            "telephone_number": "325-670-4590",
            "fax_number": "325-670-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLETA BADDOUR MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_middle_name": "BADDOUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "830-569-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K7242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00066X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1665515",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1029696",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.