NPIMap

Organization Active NPI

Doctors Medical Center Clinic

  • Family Medicine Physician
  • Comanche, TX
National Provider Identifier
1225216930
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTORS MEDICAL CENTER CLINIC
Practice address
10201 Highway 16
Comanche, TX 76442-4462
Phone
(254) 879-4910
Fax
(254) 879-4991
NPI assigned
Feb 5, 2008
Organization subpart
Yes
Parent organization
COMANCHE COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mrs. Lois Jeanette Luckie
Title
RHC Office Manager
Phone
(254) 879-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10201 Highway 16
Comanche, TX 76442-4462

Mailing address

10201 Hwy 16 North
Comanche, TX 76442-0000
Phone (254) 879-4910

National Provider Directory

National Provider Directory
Tax ID family
Comanche County Medical Center13 organizations share this tax ID, including this one
Part of
Comanche County Medical Center

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1225216930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HWY 16 NORTH",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764420000",
            "telephone_number": "254-879-4910",
            "fax_number": "254-879-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "254-879-4910",
            "fax_number": "254-879-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMANCHE COUNTY MEDICAL CENTER",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LUCKIE",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "RHC OFFICE MANAGER",
        "authorized_official_telephone_number": "254-879-4910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comanche, TX

Sources for this page

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