Organization Active NPI

Hugh M Tadlock MD PA

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1184923658
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G3835 Issued in TX
Legal business name
HUGH M TADLOCK MD PA
Practice address
316 Starview Dr
Georgetown, TX 78628-3906
Phone
(512) 508-1809
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Hugh M Tadlock, MD
Title
President
Phone
(512) 508-1809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G3835 TX Primary

Addresses

Primary practice location

316 Starview Dr
Georgetown, TX 78628-3906

Mailing address

PO Box 1754
Georgetown, TX 78627-1754
Phone (512) 508-1809

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1184923658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271754",
            "telephone_number": "512-508-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STARVIEW DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283906",
            "telephone_number": "512-508-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH M TADLOCK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "TADLOCK",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-508-1809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.