NPIMap

Organization Active NPI

Regional Health Clinic at Terrell PLLC

  • Family Nurse Practitioner
  • Terrell, TX
National Provider Identifier
1306119490
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774755 Issued in TX
Legal business name
REGIONAL HEALTH CLINIC AT TERRELL PLLC
Practice address
1553 State Highway 34 S
Ste 100
Terrell, TX 75160-4833
Phone
(972) 563-1475
Fax
(972) 524-5132
NPI assigned
Feb 20, 2012
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Dr. Larry W Hamberlin, NP-C, DCNPI 1902897234
Title
Owner/Provider
Phone
(972) 563-1475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 774755 TX
Family Nurse Practitioner 363LF0000X 774755 TX Primary

Addresses

Primary practice location

1553 State Highway 34 S
Ste 100
Terrell, TX 75160-4833

Mailing address

PO Box 1866
Terrell, TX 75160-0033
Phone (972) 563-1475

National Provider Directory

National Provider Directory

Locations

100 State Highway 205
Terrell, TX 75160
Phone (972) 563-1475

1553 State Highway 34 S
Ste 100
Terrell, TX 75160
Phone (972) 563-1475

904 W Moore Ave
#B
Terrell, TX 75160
Phone (972) 563-1475

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1306119490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751600033",
            "telephone_number": "972-563-1475",
            "fax_number": "972-524-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 STATE HIGHWAY 34 S",
            "address_2": "STE 100",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751604833",
            "telephone_number": "972-563-1475",
            "fax_number": "972-524-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH CLINIC AT TERRELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "HAMBERLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "972-563-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP-C, DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "774755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774755",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 13, 2013; 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.