Active NPI
Heart of Texas Internal Medicine Associates, PA
Doing business as Big Country Vein Relief
- Internal Medicine Physician
- Abilene, TX
National Provider Identifier
1639304033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA
- Doing business as
- Big Country Vein Relief
- Practice address
- 4716 S 14TH St
Abilene, TX 79605-4733 - Phone
- (325) 795-1200
- Fax
- (325) 795-1202
- NPI assigned
- May 29, 2009
- Last updated
- May 29, 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
- Mr. Bryan West
- Title
- Coo
- Phone
- (325) 643-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4716 S 14TH St
Abilene, TX 79605-4733
Mailing address
PO Box 520
Brownwood, TX 76804-0520
Phone (325) 643-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084917601 | Medicaid | TX | |
| 00R82T | Other | TX | BCBS |
Other names 1
- Big Country Vein Relief
National Provider Directory
National Provider Directory- Tax ID family
- Abilene Minor Emergency Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Abilene Minor Emergency Clinic
- Family Medicine Physician
- Abilene, TX
- NPI 1689901613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243555200000",
"number": "1639304033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768040520",
"telephone_number": "325-643-3300",
"fax_number": "325-641-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 S 14TH ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054733",
"telephone_number": "325-795-1200",
"fax_number": "325-795-1202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "325-643-3300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084917601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00R82T",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Big Country Vein Relief",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Abilene, TX
- Health and Human Services Commission
- Healthy Mind Therapy (Clear Skies Counseling, PLLC)
- Patrick C Heard
- Hearinglife TX, LLC
- Mary Jane Hearrell, RN
- Heart of Texas Internal Medicine Associates, PA (Abilene Minor Emergency Clinic)
- Ralph F. Heaven, M.D.
- Janice Marie Heggedahl
- Brandy Hejl, PT
- Morgan Lee Helfrick, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.