Organization Active NPI

Mitch C Wolfe MD PA

  • Family Medicine Physician
  • Henrietta, TX
National Provider Identifier
1619101284
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.