University of Texas Medical Branch

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIVERSITY OF TEXAS MEDICAL BRANCH

Practice address

1379 FM 678
Gainesville, TX 76240-7546

Phone

(940) 665-0701

Fax

(940) 665-3959

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By 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

Mrs. Linda Marie Wilson, FNP-BC

Title

Provider

Phone

(940) 665-0701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1407524135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 FM 678",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762407546",
            "telephone_number": "940-665-0701",
            "fax_number": "940-665-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 FM 678",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762407546",
            "telephone_number": "940-665-0701",
            "fax_number": "940-665-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS MEDICAL BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "940-665-0701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Roy Trammell Sr., P.T.
• Transport Care Services Corporation
• Joseph Adam Tritthardt
• Tsion Haileselassie, MD, PA, D.B.a Gainesville Pediatrics (Gainesville Pediatrics)
• Tso of Gainesville Inc
• Kacye Michelle Vann, FNP-C
• Racheal Varghese
• Jaime Joel Vela, OD
• Virendra Kumar Agarwal, M.D., P.a.
• Christian Frank Vissers Jr., MD

• Family Medicine Physician in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.