Health Texas Provider Network

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HEALTH TEXAS PROVIDER NETWORK

Doing business as

Pca-Leonard

Practice address

700 N State Highway 78
Leonard, TX 75452-0198

Phone

(903) 587-3331

Fax

(903) 587-2395

NPI assigned

Apr 16, 2007

Last updated

Jul 21, 2022By 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

William Cantrell, MD

Title

Medical Director

Phone

(903) 587-3331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PCA-LEONARD Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Hunt Regional Medical Partners

  dba Hunt Regional Family Medicine Leonard

  • Rural Health Clinic/Center
  • Leonard, TX
  • NPI 1568080364

  Sold to, 2020-07-15

  CMS change of ownership

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528283306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844128",
            "telephone_number": "469-800-3524",
            "fax_number": "469-800-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N STATE HIGHWAY 78",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754520198",
            "telephone_number": "903-587-3331",
            "fax_number": "903-587-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TEXAS PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "903-587-3331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "006EE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCA-LEONARD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Eli Culp
• Julie F Fox, LCAQ
• Stacie Diane Garcia, LPC
• Jenny Lea Garner, LPC SUPERVISOR
• Tyler R Hart, DDS
• Theresa Heaton, DMD
• Hunt Memorial Hospital District (Hunt Regional Family Medicine Leonard)
• Hunt Regional Medical Partners (Hunt Regional Family Medicine Leonard)
• Ashley Nicole Inge, DPT, PT
• Kegan's Inc (Leonard Pharmacy)

• Rural Health Clinic/Center in Leonard, TX
• Providers in Leonard, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.