Texas Medical&Wellness Clinic P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K9105 Issued in TX

Legal business name

TEXAS MEDICAL&WELLNESS CLINIC P.A.

Practice address

6242 N Navarro St
Victoria, TX 77904-1705

Phone

(361) 551-2288

Fax

(361) 576-9355

NPI assigned

Jun 28, 2005

Last updated

Sep 20, 2023By 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

Dr. Nhi P Le, MDNPI 1003808163

Title

Owner

Phone

(361) 551-2288

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NHI LE MD/PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nhi P Le, M.D.

  • Family Medicine Physician
  • Port Lavaca, TX
  • NPI 1003808163
  Medicare reassignment NPD Authorized official
• Kurt D Killebrew, N.P.

  • Family Nurse Practitioner
  • Victoria, TX
  • NPI 1497750228
  NPD (past)
• Abelardo Montes, P.A.C.

  • Medical Physician Assistant
  • El Paso, TX
  • NPI 1639168271
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1467458059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041705",
            "telephone_number": "361-551-2288",
            "fax_number": "361-576-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041705",
            "telephone_number": "361-551-2288",
            "fax_number": "361-576-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL&WELLNESS CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "NHI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-551-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9105",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8AD895",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030819901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHI LE MD/PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Victoria, TX
• Providers in Victoria, 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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.