Active NPI
Minuteclinic Diagnostic of Texas PLLC
- Family Nurse Practitioner
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MINUTECLINIC DIAGNOSTIC OF TEXAS PLLC
- Practice address
- 1855 Gattis School Rd
Round Rock, TX 78664-7428 - Phone
- (866) 389-2727
- NPI assigned
- Jul 20, 2007
- Last updated
- Jul 2, 2024
- 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
- Deborah Pincince
- Title
- Administrator
- Phone
- (401) 770-3813
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1855 Gattis School Rd
Round Rock, TX 78664-7428
Mailing address
PO Box 772 Minuteclinic Credentialing
Woonsocket, RI 02895-0784
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080204000113 | TX | Part B Supplier - Clinic/Group Practice | 7416039177 |
Receives reassigned benefits from 494 practitioners 1 other NPI on this enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
O20080204000113
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1059827 | Minuteclinic Diagnostic of Texas, PLLC | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
11725 Ranch Road 620 N
Austin, TX 78750
Phone (512) 635-9591
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
3614 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 478-6041
5702 Lavon Dr
Garland, TX 75040
Phone (877) 512-5442
1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491
6220 Sienna Pkwy
Missouri City, TX 77459
Phone (281) 257-4320
2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400
2013 Kelly Ln
Pflugerville, TX 78660
Phone (512) 990-0814
501 University Blvd
Round Rock, TX 78665
Phone (512) 310-8791
1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 247-4333
103 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6755
7603 Culebra Rd
San Antonio, TX 78251
Phone (210) 680-0299
2693 Roy Richard Dr
Schertz, TX 78154
Phone (210) 658-3087
24802 Aldine Westfield Rd
Spring, TX 77373
Phone (281) 288-1561
24048 Kuykendahl Rd
Tomball, TX 77375
Phone (281) 255-3897
Practitioners & affiliated clinicians
Practitioners 510
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.
-
- Family Nurse Practitioner
- Deer Park, TX
- NPI 1659676799
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1073129409
-
- Family Nurse Practitioner
- McKinney, TX
- NPI 1184119711
-
- Family Nurse Practitioner
- Castle Hills, TX
- NPI 1114796406
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1811264039
-
- Family Nurse Practitioner
- The Woodlands, TX
- NPI 1821322777
-
- Family Nurse Practitioner
- Tomball, TX
- NPI 1346049566
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1245957588
-
- Family Nurse Practitioner
- Lewisville, TX
- NPI 1295376630
-
- Family Nurse Practitioner
- Seabrook, TX
- NPI 1972900181
-
- Family Nurse Practitioner
- Grand Prairie, TX
- NPI 1851025514
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1780392365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719878400000",
"number": "1609076330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772 MINUTECLINIC CREDENTIALING",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028950784",
"telephone_number": "866-389-2727",
"fax_number": "401-406-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 GATTIS SCHOOL RD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647428",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINUTECLINIC DIAGNOSTIC OF TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-20",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A",
"authorized_official_last_name": "PINCINCE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "401-770-3813"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"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 Round Rock, TX
- Mindful Massage LLC
- Ministering Physicians PA
- Ministering Physicians, P.a.
- Emily Catherine Mink, NP-C
- Ashley Richardson Minnitt, LCSW-S
- Minuteclinic Telehealth Services of Texas Association
- Yazmin J. Miranda, D.M.D
- Michelle Marie Misic, MS CCC SLP
- Mississippi Lithotripters, LP
- Sandeep G Mistry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.