Organization Active NPI

Beeville Medical Associates PLLC

  • Family Medicine Physician
  • Beeville, TX
National Provider Identifier
1215078134
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEEVILLE MEDICAL ASSOCIATES PLLC
Practice address
1602 E Houston
Suite C
Beeville, TX 78102
Phone
(361) 358-9200
Fax
(361) 362-1671
NPI assigned
Feb 12, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Esther Martinez
Title
HR Division Manager
Phone
(361) 358-9200

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TX Primary
Infectious Disease Physician 207RI0200X TX
Nephrology Physician 207RN0300X TX
Pulmonary Disease Physician 207RP1001X TX
Pediatrics Physician 208000000X TX
General Practice Physician 208D00000X TX
Podiatrist 213E00000X TX

Addresses

Primary practice location

1602 E Houston
Suite C
Beeville, TX 78102

Mailing address

PO Box 100
Beeville, TX 78102
Phone (361) 358-9200

Other identifiers 2

IdentifierTypeStateIssuer
095059402MedicaidTX
095059404MedicaidTX

National Provider Directory

National Provider Directory

Locations

504 Houston St
Ste A
George West, TX 78022
Phone (361) 449-1947

Practitioners & affiliated clinicians

Practitioners 1

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1215078134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "361-358-9200",
            "fax_number": "361-362-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E HOUSTON",
            "address_2": "SUITE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "361-358-9200",
            "fax_number": "361-362-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEVILLE MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "HR DIVISION MANAGER",
        "authorized_official_telephone_number": "361-358-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095059402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095059404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.