White Coat Medical, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WHITE COAT MEDICAL, PLLC

Practice address

180 Town Center Blvd Ste 400
Jarrell, TX 76537-4007

Phone

(512) 850-9143

Fax

(512) 287-5582

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Ramiro Abraham Pena, MD

Title

Medical Director

Phone

(512) 588-1501

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jarrell Medical Clinic Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathleen Evelyn Curl

  • Family Nurse Practitioner
  • Jarrell, TX
  • NPI 1326890070
  NPD
• Primo Abel Mayhua, M.D.

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1376587568
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1346909231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TOWN CENTER BLVD STE 400",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765374007",
            "telephone_number": "512-850-9143",
            "fax_number": "512-287-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 TOWN CENTER BLVD STE 400",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765374007",
            "telephone_number": "512-850-9143",
            "fax_number": "512-287-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COAT MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-588-1501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "D1001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "1033714",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drpena@jarrellmedicalclinic.com",
            "affiliation": "N",
            "endpointDescription": "Drpena@jarrellmedicalclinic.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 Town Center Blvd Ste 400",
            "city": "Jarrell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765374007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jarrell Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jarrell Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunshine Counselor, LLC
• Lisset Telo Piedra, APRN-CNP
• TMC Provider Group PLLC
• Maricela Vidal
• Carmen Villanueva Hiles, M.A., CCC-SLP
• Anne-Marie Tague White, LPC
• Tonya Amanda Shivon Wright-Hamilton, MA, LPC, CMHC, NCC

• Clinic/Center in Jarrell, TX
• Providers in Jarrell, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.