Organization Active NPI

Seagoville Womens Clinic, LLC

  • Clinic/Center
  • Seagoville, TX
National Provider Identifier
1386248250
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SEAGOVILLE WOMENS CLINIC, LLC
Practice address
1110 N Highway 175 Ste 7
Seagoville, TX 75159-2361
Phone
(469) 333-5151
Fax
(469) 333-5156
NPI assigned
Nov 22, 2020
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Angelica Soto, NPNPI 1508258716
Title
Owner
Phone
(469) 835-3011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1110 N Highway 175 Ste 7
Seagoville, TX 75159-2361

Mailing address

1110 N Highway 175 Ste 7
Seagoville, TX 75159-2361

National Provider Directory

National Provider Directory

Locations

1110 N Highway 175
Ste 7
Seagoville, TX 75159
Phone (469) 333-5151

Practitioners & affiliated clinicians

Practitioners 1

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": "1606003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1386248250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N HIGHWAY 175 STE 7",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N HIGHWAY 175 STE 7",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592361",
            "telephone_number": "469-333-5151",
            "fax_number": "469-333-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGOVILLE WOMENS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-22",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-835-3011",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seagoville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.