Organization 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
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
084917601MedicaidTX
00R82TOtherTXBCBS

Other names 1

  • Big Country Vein Relief Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abilene Minor Emergency Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.