Organization Active NPI

Heart of Texas Direct Primary Care, PLLC

  • Primary Care Clinic/Center
  • Waco, TX
National Provider Identifier
1417732371
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEART OF TEXAS DIRECT PRIMARY CARE, PLLC
Practice address
2040 N Valley Mills Dr
Waco, TX 76710-2561
Phone
(254) 218-4002
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Mr. Trevin Rube, APRN, FNP-CNPI 1124497409
Title
Owner
Phone
(254) 218-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2040 N Valley Mills Dr
Waco, TX 76710-2561

Mailing address

2040 N Valley Mills Dr
Waco, TX 76710-2561
Phone (254) 218-4002

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2296204Heart of Texas Direct Primary Care PLLC2040 N Valley Mills Dr, Waco, TX 76710Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory

Locations

2040 N Valley Mills Dr
Waco, TX 76710
Phone (254) 218-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1417732371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102561",
            "telephone_number": "254-218-4002",
            "fax_number": "254-323-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102561",
            "telephone_number": "254-218-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "RUBE",
        "authorized_official_first_name": "TREVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-218-4002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.