Organization Active NPI

Physicians of King'S Daughters, PA

  • Durable Medical Equipment & Medical Supplies
  • Killeen, TX
National Provider Identifier
1184840530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHYSICIANS OF KING'S DAUGHTERS, PA
Practice address
401 W Jasper Dr
Killeen, TX 76542-1323
Phone
(254) 298-2682
Fax
(254) 778-7197
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward T. McCaffrey, DPM
Title
President Board of Directors
Phone
(254) 298-2682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

401 W Jasper Dr
Killeen, TX 76542-1323

Mailing address

1905 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 298-2682

Other names 1

  • King's Daughters Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

401 W Jasper Dr
Killeen, TX 76542
Phone (254) 215-9679

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184840530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SW H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-298-2682",
            "fax_number": "254-778-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W JASPER DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421323",
            "telephone_number": "254-298-2682",
            "fax_number": "254-778-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF KING'S DAUGHTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "254-298-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Daughters Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.