K. West PHC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

K. WEST PHC LLC

Practice address

2508 Foxplace Dr. Suite B
Eagle Pass, TX 78852

Phone

(830) 776-3839

Fax

(830) 757-4330

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hector Vielma

Title

Administrator

Phone

(830) 776-3839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1225348410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 FOXPLACE DR. SUITE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-776-3839",
            "fax_number": "830-757-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 FOXPLACE DR. SUITE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-776-3839",
            "fax_number": "830-757-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. WEST PHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "VIELMA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-776-3839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.