Active NPI
Mitch C Wolfe MD PA
- Family Medicine Physician
- Henrietta, TX
National Provider Identifier
1619101284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MITCH C WOLFE MD PA
- Practice address
- 310 W South St
#101
Henrietta, TX 76365-3346 - Phone
- (940) 538-5054
- Fax
- (940) 538-0028
- NPI assigned
- May 11, 2009
- Last updated
- May 11, 2009
- 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
- Mitch C Wolfe, M.D.
- Title
- Owner/Member
- Phone
- (940) 538-5054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
310 W South St
#101
Henrietta, TX 76365-3346
Mailing address
PO Box 180
Henrietta, TX 76365-0180
Phone (940) 538-5054
National Provider Directory
National Provider DirectoryLocations
310 W South St
#101
Henrietta, TX 76365
Phone (940) 538-5054
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.
-
- Student in an Organized Health Care Education/Training Program
- Shreveport, LA
- NPI 1578555686
-
- Medical Physician Assistant
- NPI 1780823393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1619101284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763650180",
"telephone_number": "940-538-5054",
"fax_number": "940-538-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W SOUTH ST",
"address_2": "#101",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763653346",
"telephone_number": "940-538-5054",
"fax_number": "940-538-0028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCH C WOLFE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "MITCH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "940-538-5054",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrietta, TX
- Mark Mathews, RPH
- Sabrina Renee McCombs, RN
- Medical Transportation Solutions LLC (Premier Medical Transport)
- Michael a Mitchell DO, PLLC
- Midway Independent School District
- Mitch Wolfe, M.D., P.a.
- Mitchell Curtis Wolfe, MD
- Jennifer Mitchell, MS, CCC-SLP
- Michael Allen Mitchell, D.O.
- Nocona Hospital District (Grace Care Center of Henrietta)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.