Organization Active NPI

Mainland Primary Care Physicians, PLLC

  • Internal Medicine Physician
  • Texas City, TX
National Provider Identifier
1205087095
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAINLAND PRIMARY CARE PHYSICIANS, PLLC
Practice address
6807 Emmett F Lowry Expressway
Suite 103
Texas City, TX 77591-6807
Phone
(409) 938-1770
Fax
(409) 938-0701
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Todd Evans
Title
President
Phone
(713) 852-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6807 Emmett F Lowry Expressway
Suite 103
Texas City, TX 77591-6807

Mailing address

6807 Emmett Lowry Expressway
Suite 103
Texas City, TX 77591-6807
Phone (409) 938-1770

Other identifiers 1

IdentifierTypeStateIssuer
209785901MedicaidTX

National Provider Directory

National Provider Directory

Locations

1125 Highway 3 N
#130A
Texas City, TX 77591
Phone (409) 908-0134

6801 Emmett F Lowry Expy
Ste 103
Texas City, TX 77591

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1205087095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 EMMETT LOWRY EXPRESSWAY",
            "address_2": "SUITE 103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775916807",
            "telephone_number": "409-938-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPRESSWAY",
            "address_2": "SUITE 103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775916807",
            "telephone_number": "409-938-1770",
            "fax_number": "409-938-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND PRIMARY CARE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-852-1500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209785901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.