Comanche Internal Medicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G8185 Issued in TX

Legal business name

COMANCHE INTERNAL MEDICINE, PA

Practice address

10201 Highway 16
Comanche, TX 76442-4462

Phone

(254) 879-4910

NPI assigned

May 13, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Harry McCrane

Title

Billing Manager

Phone

(325) 641-2655

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1386811958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1825",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768041825",
            "telephone_number": "325-641-2655",
            "fax_number": "325-641-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "254-879-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MCCRANE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "325-641-2655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194923201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comanche County Medical Center Company
• Comanche County Medical Center Company (Corner Stone Family Medicine)
• Comanche County Medical Center Dba Doctors Medical Center
• Comanche County Physicians Group
• Comanche Family Clinic LLC
• Comanche Isd
• Cornerstone Family Medicine, PLLC
• Coryell County Memorial Hospital Authority (Avir at Comanche)
• Cynthia Newton, LCSW (HOPE Counseling of Texas)
• Garry Todd Davis, D.O.

• Internal Medicine Physician in Comanche, TX
• Providers in Comanche, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.