NPIMap

Organization Active NPI

Texas Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Tyler, TX
National Provider Identifier
1174771554
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
TEXAS PALLIATIVE CARE
Practice address
4111 University Blvd
Tyler, TX 75701-6623
Phone
(903) 266-3400
Fax
(903) 566-0291
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Marjorie Ream, RN, MN
Title
President/Ceo
Phone
(903) 266-3400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Pediatric Hospice and Palliative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080H0002X

Addresses

Primary practice location

4111 University Blvd
Tyler, TX 75701-6623

Mailing address

4111 University Blvd
Tyler, TX 75701-6623
Phone (903) 266-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000754 TX Part B Supplier - Clinic/Group Practice 2062691223 Receives reassigned benefits from 12 practitioners
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1174771554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016623",
            "telephone_number": "903-266-3400",
            "fax_number": "903-566-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016623",
            "telephone_number": "903-266-3400",
            "fax_number": "903-566-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "REAM",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "903-266-3400",
        "authorized_official_credential": "RN, MN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.