Organization Active NPI

Mitch Wolfe, M.D., P.a.

  • Family Medicine Physician
  • Henrietta, TX
National Provider Identifier
1467647818
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0708 Issued in TX
Legal business name
MITCH WOLFE, M.D., P.A.
Practice address
1110 W Omega St
Henrietta, TX 76365-3205
Phone
(940) 538-5054
Fax
(940) 538-0028
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Mitch C Wolfe, M.D.
Title
Provider/President
Phone
(940) 538-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0708 TX Primary

Addresses

Primary practice location

1110 W Omega St
Henrietta, TX 76365-3205

Mailing address

1110 W Omega St
Henrietta, TX 76365-3205
Phone (940) 538-5054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1467647818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W OMEGA ST",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763653205",
            "telephone_number": "940-538-5054",
            "fax_number": "940-538-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W OMEGA ST",
            "city": "HENRIETTA",
            "state": "TX",
            "postal_code": "763653205",
            "telephone_number": "940-538-5054",
            "fax_number": "940-538-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH WOLFE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "MITCH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "940-538-5054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrietta, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.