Associated Geriatric Services, PA

Key facts

NPI

1457564882

Entity type

Organization (NPI type 2)

Primary specialty

Geriatric Medicine (Family Medicine) Physician 207QG0300X

License

J6641 (TX)

Legal business name

ASSOCIATED GERIATRIC SERVICES, PA

Practice address

1865 Worth St
Hemphill, TX 75948-7201

Phone

(409) 787-1945

Fax

(409) 787-4593

NPI assigned

May 8, 2007

Organization subpart

No

Authorized official

Name

Dr. Stanton C Packard, M.D. NPI 1902902257

Title

President

Phone

(409) 787-1945

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

Practitioners 1

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

• Stanton C. Packard, M.D. Family Medicine Physician · Pasadena, TX · NPI 1902902257
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other names

• HomeCare Doctors of America - Deep East Texas Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457564882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487201",
            "telephone_number": "409-787-1945",
            "fax_number": "409-787-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 WORTH ST",
            "city": "HEMPHILL",
            "state": "TX",
            "postal_code": "759487201",
            "telephone_number": "409-787-1945",
            "fax_number": "409-787-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED GERIATRIC SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-787-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare Doctors of America - Deep East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemphill, TX

• Anita Thedford LLC
• Melody Averett
• Terri L. Barnhart, FNP-BC
• Christina F Bearden
• John Berlin, PTA
• Talina Michelle Bobbitt

All providers in Hemphill, TX · Geriatric Medicine (Family Medicine) Physician in Texas