Physicians Management Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J1957 Issued in TX

Legal business name

PHYSICIANS MANAGEMENT SERVICES LLC

Practice address

185 Eastgate PLZ
Waco, TX 76705-2868

Phone

(254) 412-2667

Fax

(254) 798-5766

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Nat Mangum

Title

Ceo

Phone

(469) 688-6628

Specialties & licenses 7

Addresses

Other names 1

• INJURY 1 TREATMENT CENTER Doing business as

Tax ID family

Physician Management Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Health

  • Health Maintenance Organization
  • Waco, TX
  • NPI 1952542813
  NPD tax ID

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1386780336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 DESCO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752251604",
            "telephone_number": "214-563-5122",
            "fax_number": "214-361-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 EASTGATE PLZ",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767052868",
            "telephone_number": "254-412-2667",
            "fax_number": "254-798-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "NAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-688-6628"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15980",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20025",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17173",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21357",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J1957",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030278",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1014587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INJURY 1 TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tytiana Shabree Phillips, BT
• Wendy Eileen Phillips, HIS
• Gwendolen Phipps, RN
• Phoenix Care LLC
• Physician Assistant Services of Texas L.L.P
• Physicians Surgery Center of Waco
• Catherine Ann Piar, PTA
• Mary Pickler, MS, RD, LD
• Matthew Charles Piechoski, ATC, CES
• Kelley Pierce, LPC

• General Practice Physician in Waco, TX
• Providers in Waco, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.