Altus Waxahachie, LP

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

ALTUS WAXAHACHIE, LP

Practice address

1791 N Highway 77
Waxahachie, TX 75165-7868

Phone

(409) 227-0531

Fax

(409) 227-0521

NPI assigned

Oct 27, 2016

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Cotton

Title

Chief Operations Officer

Phone

(832) 219-3833

Specialties & licenses 1

Addresses

Other names 1

• Altus Management LLC Gen PTR Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Enrico Gulua Aguas, MD

  • Internal Medicine Physician
  • Crosbyton, TX
  • NPI 1285697979
  Medicare reassignment NPD

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1649722463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657868",
            "telephone_number": "409-227-0531",
            "fax_number": "409-227-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657868",
            "telephone_number": "409-227-0531",
            "fax_number": "409-227-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS WAXAHACHIE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "832-219-3833"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altus Management LLC Gen PTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emergency Care Clinic/Center in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.