Active NPI
Violeta Baddour MD, PA
- Rheumatology Physician
- Abilene, TX
National Provider Identifier
1174570790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- K7242
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00066X | Other | MEDICARE | |
| 1665515 | Medicaid | TX | |
| 45D1029696 | Other | TX | CLIA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Rheumatology Physician
- Abilene, TX
- NPI 1134123037
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.