University Drive Health Center, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

UNIVERSITY DRIVE HEALTH CENTER, P.A.

Practice address

932 N University Dr
Nacogdoches, TX 75961-4643

Phone

(936) 564-1188

Fax

(936) 560-4137

NPI assigned

Aug 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Wayne Hairston, D. O.

Title

Owner/ President

Phone

(936) 564-1188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maria Jenkins

  • Family Nurse Practitioner
  • Nacogdoches, TX
  • NPI 1720445851
  NPD

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1649289711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614643",
            "telephone_number": "936-564-1188",
            "fax_number": "936-560-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614643",
            "telephone_number": "936-564-1188",
            "fax_number": "936-560-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DRIVE HEALTH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "936-564-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ann Turner, LPC-A, LCDC
• Karen Lea Turner
• Twin City Orthotics & Prosthetics, LLC
• Leslie Ann Tyndall, L.P.C.
• Ally Kirsten Tywater
• Urgent Health Solutions Nacogdoches
• Usad
• Utmb Faculty Group Practice
• Utmb Regional and Maternal Child Health Program
• Utmb Regional Maternal and Child Health Program

• General Practice Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.