Active NPI
Agnes Bertha Xavier, M.D.
- Internal Medicine Physician
- Paris, TX
National Provider Identifier
1407075864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H1679
- Practice address
- 1655 NE Loop 286
Paris, TX 75460-2219 - Phone
- (903) 739-9191
- Fax
- (903) 739-2773
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H1679 | TX | Primary |
Addresses
Primary practice location
1655 NE Loop 286
Paris, TX 75460-2219
Mailing address
4805 Trails End
Paris, TX 75462-8036
Phone (903) 784-2951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000D61Z8 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1679 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Past | Accepting new patients | |
| Red River Valley Radiology Associates | Past | Accepting new patients | |
| Salas Urgent Care LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Greenville, TX
- NPI 1790723468
-
- Diagnostic Radiology Physician
- Paris, TX
- NPI 1841216918
-
- Urgent Care Clinic/Center
- Paris, TX
- NPI 1245189471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407075864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 TRAILS END",
"city": "PARIS",
"state": "TX",
"postal_code": "754628036",
"telephone_number": "903-784-2951",
"fax_number": "903-739-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 NE LOOP 286",
"city": "PARIS",
"state": "TX",
"postal_code": "754602219",
"telephone_number": "903-739-9191",
"fax_number": "903-739-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XAVIER",
"first_name": "AGNES",
"middle_name": "BERTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H1679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000D61Z8",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.