Organization Active NPI

Compleat Physicians, PLLC

  • Specialist
  • Waco, TX
National Provider Identifier
1366795734
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L1071 Issued in TX
Legal business name
COMPLEAT PHYSICIANS, PLLC
Practice address
7005 Woodway Dr
Suite#201
Waco, TX 76712-6169
Phone
(254) 772-2222
Fax
(254) 732-3661
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. James Ray Hodges
Title
MD
Phone
(254) 772-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L1071 TX Primary

Addresses

Primary practice location

7005 Woodway Dr
Suite#201
Waco, TX 76712-6169

Mailing address

7005 Woodway Dr
Suite#201
Waco, TX 76712-6169
Phone (254) 772-2222

National Provider Directory

National Provider Directory

Locations

7005 Woodway Dr
Ste 201
Woodway, TX 76712
Phone (254) 732-3633

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1366795734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 WOODWAY DR",
            "address_2": "SUITE#201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126169",
            "telephone_number": "254-772-2222",
            "fax_number": "254-732-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 WOODWAY DR",
            "address_2": "SUITE#201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126169",
            "telephone_number": "254-772-2222",
            "fax_number": "254-732-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEAT PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "254-772-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.