Organization Active NPI

Excel ENT Clinics, Associated

  • Otolaryngology Physician
  • Terrell, TX
National Provider Identifier
1265628143
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
K0062 Issued in TX
Legal business name
EXCEL ENT CLINICS, ASSOCIATED
Practice address
107 Tejas Dr
Terrell, TX 75160-6567
Phone
(972) 524-3323
Fax
(972) 524-0929
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Christopher Himmelheber, M.D.
Title
President
Phone
(972) 524-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X K0062 TX Primary

Addresses

Primary practice location

107 Tejas Dr
Terrell, TX 75160-6567

Mailing address

107 Tejas Dr
Terrell, TX 75160-6567
Phone (972) 524-3323

Other identifiers 1

IdentifierTypeStateIssuer
00328TOtherTXMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1265628143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TEJAS DR",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751606567",
            "telephone_number": "972-524-3323",
            "fax_number": "972-524-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TEJAS DR",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751606567",
            "telephone_number": "972-524-3323",
            "fax_number": "972-524-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL ENT CLINICS, ASSOCIATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "HIMMELHEBER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-524-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K0062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "00328T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.