Organization Active NPI

Wimberley Valley Medical Center LP

  • Family Medicine Physician
  • Wimberley, TX
National Provider Identifier
1215115167
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WIMBERLEY VALLEY MEDICAL CENTER LP
Practice address
14100 Ranch Road 12
Ste 900
Wimberley, TX 78676-5354
Phone
(512) 847-3366
Fax
(325) 641-8714
NPI assigned
Feb 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Arlene N Gaulden
Title
Partner/Business Manager
Phone
(325) 647-4397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14100 Ranch Road 12
Ste 900
Wimberley, TX 78676-5354

Mailing address

PO Box 2970
Wimberley, TX 78676-7870
Phone (512) 847-3366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1215115167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2970",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786767870",
            "telephone_number": "512-847-3366",
            "fax_number": "325-641-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12",
            "address_2": "STE 900",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765354",
            "telephone_number": "512-847-3366",
            "fax_number": "325-641-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIMBERLEY VALLEY MEDICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "GAULDEN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER/BUSINESS MANAGER",
        "authorized_official_telephone_number": "325-647-4397"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.