Individual provider Active NPI

Hector Condarco

  • Family Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1194242594
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134931 Issued in TX
Practice address
2400 North I35 East Service Road
Waxahachie, TX 75165
Phone
(469) 843-5000
NPI assigned
Aug 25, 2017
Last updated
Aug 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134931 TX Primary

Addresses

Primary practice location

2400 North I35 East Service Road
Waxahachie, TX 75165

Mailing address

111 Liberty Way
Waxahachie, TX 75167-4821
Phone (702) 743-4682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002001785 TX Practitioner - Nurse Practitioner 3375818313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

5800 E Lovers LN
Dallas, TX 75206-2901
Phone (972) 817-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134931TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Ennis Physical Medicine, PLLC CurrentSince Jul 24, 2018 Accepting new patients
Century Integrated Partners, Inc CurrentSince Aug 21, 2017 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Urgent Surgery Associates, P.a. PastSince Sep 23, 2021 Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5800 E Lovers Ln
Dallas, TX 75206
Phone (214) 324-6100

109 NW Main St
Ennis, TX 75119
Phone (972) 293-9355

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7217 Telecom Pkwy
Ste 100A
Garland, TX 75044
Phone (469) 800-2530

6800 State Highway 121
McKinney, TX 75070
Phone (469) 800-5680

1441 S Midlothian Pkwy
Ste 100A
Midlothian, TX 76065
Phone (469) 800-9440

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

925 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone 2143582300 ext. 6225

925 E Southlake Blvd
Ste 270
Southlake, TX 76092
Phone 2143582300 ext. 6225

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Interoperability endpoints

  • Direct secure messaging: hcondarco444818@direct.sw.org
  • Direct secure messaging: hector.condarco.p1@direct.soaringhealthcare.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1194242594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LIBERTY WAY",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751674821",
            "telephone_number": "702-743-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTH I35 EAST SERVICE ROAD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "469-843-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDARCO",
        "first_name": "HECTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.