Organization Active NPI

Texoma Cardiovascular Surgeons LLP

  • Surgery Physician
  • Sherman, TX
National Provider Identifier
1639107659
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TEXOMA CARDIOVASCULAR SURGEONS LLP
Practice address
600 E Taylor St
Suite 100
Sherman, TX 75090-2881
Phone
(903) 868-4595
Fax
(903) 868-4597
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert J Wilcott, MD
Title
Partner
Phone
(903) 868-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

600 E Taylor St
Suite 100
Sherman, TX 75090-2881

Mailing address

600 E Taylor St
Suite 100
Sherman, TX 75090-2881
Phone (903) 868-4595

Other identifiers 2

IdentifierTypeStateIssuer
0095EZOtherTXBLUE CROSS BLUE SHIELD
080222501MedicaidTX

National Provider Directory

National Provider Directory

Locations

300 N Highland Ave
Ste 105
Sherman, TX 75092
Phone (903) 364-4525

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1639107659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST",
            "address_2": "SUITE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902881",
            "telephone_number": "903-868-4595",
            "fax_number": "903-868-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST",
            "address_2": "SUITE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902881",
            "telephone_number": "903-868-4595",
            "fax_number": "903-868-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA CARDIOVASCULAR SURGEONS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "WILCOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-868-4595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0095EZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080222501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.