Central Texas Healthcare Services
Organization Active NPI Surgery Physician · Stephenville, TX
NPI 1609400209 · NPPES record last updated Feb 24, 2020
Key facts
- NPI
- 1609400209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- CENTRAL TEXAS HEALTHCARE SERVICES
- Practice address
- 150 River North Blvd
Stephenville, TX 76401-1860 - Phone
- (254) 386-1600
- NPI assigned
- Feb 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Grady Hooper
- Title
- Ceo
- Phone
- (254) 386-1951
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 3
Practitioners 5
-
Ryan Adams, M.D.
-
Riley Ripley, PT, DPT
-
Melanie Caryne Bartek, O. D.
-
Mark Keith Davis, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200928001153 | TX | Part B Supplier - Clinic/Group Practice | 2860819455 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment Practice locations: Hico, TX; Hamilton, TX; Stephenville, TX |
National Provider Directory
- Tax ID family
- Central Texas Healthcare Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
150 River North Blvd
Stephenville, TX 76401-1860
Mailing address
400 N Brown St
Hamilton, TX 76531-1518
Phone (254) 386-1600
Other names
- CENTRAL TEXAS SURGICAL SERVICES
Other providers in Stephenville, TX
- Michael Joseph Carroll
- Joshua Lee Carswell
- Roberta Carter
- Sara Holzbauer de Castellanos
- Kylee Rae Castillo
- Stephanie Nicole Cervetto
- Elizabeth L. Chambers
- Nelson Chang
- Anika Noelle Chavarria Prine
- Maria Eugenia Chavez
All providers in Stephenville, TX · Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.