Active NPI
Philco Inc
- Clinical Medical Laboratory
- Huntsville, TX
National Provider Identifier
1568632032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 50104
- Legal business name
- PHILCO INC
- Practice address
- 1911 22ND St
Huntsville, TX 77340-4954 - Phone
- (936) 291-2414
- Fax
- (936) 438-8088
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip L Allred, AUD
- Title
- Audiologist
- Phone
- (936) 291-2414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 50104 | TX | Primary |
Addresses
Primary practice location
1911 22ND St
Huntsville, TX 77340-4954
Mailing address
PO Box 6073
Huntsville, TX 77342-6073
Phone (936) 291-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022377801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1568632032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6073",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773426073",
"telephone_number": "936-291-2414",
"fax_number": "936-438-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 22ND ST",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404954",
"telephone_number": "936-291-2414",
"fax_number": "936-438-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILCO INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "ALLRED",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "936-291-2414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "50104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022377801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.