Organization Active NPI

Nutrimed Clinics LLC

  • Community Health Clinic/Center
  • Robinson, TX
National Provider Identifier
1477834794
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
NUTRIMED CLINICS LLC
Doing business as
Robinson Community Clinic
Practice address
635 N Robinson Dr
Robinson, TX 76706-5330
Phone
(254) 662-2859
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Mr. Thomas Manning Neale II, RPHNPI 1417619677
Title
President/Ceo
Phone
(972) 742-9863

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
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

635 N Robinson Dr
Robinson, TX 76706-5330

Mailing address

5012 Remington Park Drive
Flower Mound, TX 75028
Phone (972) 742-9863

Other names 1

  • Robinson Community Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

635 N Robinson Dr
Ste K
Robinson, TX 76706
Phone (254) 732-0052

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": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1477834794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 REMINGTON PARK DRIVE",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-742-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N ROBINSON DR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065330",
            "telephone_number": "254-662-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIMED CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "NEALE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MANNING",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-742-9863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinson Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.