Organization Active NPI

Texana Physicians, PLLC

  • Emergency Medicine Physician
  • Webster, TX
National Provider Identifier
1306202098
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K2308 Issued in TX
Legal business name
TEXANA PHYSICIANS, PLLC
Practice address
200 Blossom St
Webster, TX 77598-4204
Phone
(281) 525-7132
NPI assigned
Jan 11, 2016
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Tracey Allen Antill, D.O.NPI 1497730303
Title
Organizer
Phone
(713) 252-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X K2308 TX Primary

Addresses

Primary practice location

200 Blossom St
Webster, TX 77598-4204

Mailing address

203 Holly Springs Dr
Friendswood, TX 77546-4630
Phone (713) 252-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160328000734 TX Part B Supplier - Clinic/Group Practice 6901103555 Receives reassigned benefits from 7 practitioners
Practice locations: League City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1306202098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOLLY SPRINGS DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464630",
            "telephone_number": "713-252-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984204",
            "telephone_number": "281-525-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXANA PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "ANTILL",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "713-252-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.