Active NPI
Health Texas Provider Network
- Rural Health Clinic/Center
- Gun Barrel City, TX
National Provider Identifier
1174747950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HEALTH TEXAS PROVIDER NETWORK
- Doing business as
- PCA OF GUN BARREL CITY
- Practice address
- 801 W Main St
Gun Barrel City, TX 75156-5312 - Phone
- (903) 887-6252
- NPI assigned
- Apr 12, 2007
- 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
- Sheryl L Morris
- Title
- Operations Manager
- Phone
- (469) 800-3524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
801 W Main St
Gun Barrel City, TX 75156-5312
Mailing address
PO Box 844128
Dallas, TX 75284-4128
Phone (469) 800-3524
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP0098 | Other | TX | RAILROAD MEDICARE |
| 137940604 | Medicaid | TX | |
| 008EE | Other | TX | BCBS GROUP |
| 137940601 | Medicaid | TX | |
| 137940611 | Medicaid | TX |
Other names 1
- PCA OF GUN BARREL CITY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479427200000",
"number": "1174747950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844128",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844128",
"telephone_number": "469-800-3524",
"fax_number": "469-800-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W MAIN ST",
"city": "GUN BARREL CITY",
"state": "TX",
"postal_code": "751565312",
"telephone_number": "903-887-6252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH TEXAS PROVIDER NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2016-11-18",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "469-800-3524"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP0098",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137940604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "008EE",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137940601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137940611",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PCA OF GUN BARREL CITY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gun Barrel City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.