Organization Active NPI

Heart of Texas Internal Medicine Associates, PA

Doing business as One Source Health Center

  • Family Medicine Physician
  • Rising Star, TX
National Provider Identifier
1285724435
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4521 Issued in TX
Legal business name
HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA
Doing business as
One Source Health Center
Practice address
902 West College
Rising Star, TX 76471-5143
Phone
(254) 643-3141
Fax
(254) 643-4000
NPI assigned
Oct 16, 2006
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Bryan West
Title
Cfo
Phone
(325) 643-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K4521 TX Primary

Addresses

Primary practice location

902 West College
Rising Star, TX 76471-5143

Mailing address

PO Box 520
Brownwood, TX 76804-0520
Phone (254) 643-3141

Other names 1

  • One Source Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1285724435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040520",
            "telephone_number": "254-643-3141",
            "fax_number": "254-643-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WEST COLLEGE",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "764715143",
            "telephone_number": "254-643-3141",
            "fax_number": "254-643-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-643-3300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rising Star, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.