Active NPI
Texoma Primary Care Clinic
- Family Nurse Practitioner
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TEXOMA PRIMARY CARE CLINIC
- Practice address
- 5500 Kell Blvd
Suite 500
Wichita Falls, TX 76310-1612 - Phone
- (940) 264-2273
- NPI assigned
- Sep 3, 2015
- Last updated
- Sep 3, 2015
- Organization subpart
- Yes
- Parent organization
- KELL WEST REGIONAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry K Myers, M.D.
- Title
- Ceo
- Phone
- (940) 696-7518
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5500 Kell Blvd
Suite 500
Wichita Falls, TX 76310-1612
Mailing address
5500 Kell Blvd
Suite 500
Wichita Falls, TX 76310-1612
Phone (940) 264-2273
National Provider Directory
National Provider Directory- Part of
- Kell West Regional
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1669480323
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Surgery Physician
- Wichita Falls, TX
- NPI 1851399505
-
- Surgical Physician Assistant
- Cape Coral, FL
- NPI 1205808516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1497123772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 KELL BLVD",
"address_2": "SUITE 500",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101612",
"telephone_number": "940-264-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 KELL BLVD",
"address_2": "SUITE 500",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101612",
"telephone_number": "940-264-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXOMA PRIMARY CARE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KELL WEST REGIONAL HOSPITAL",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "940-696-7518",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.