Organization Active NPI

Medical Clinic of Abilene, PLLC

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1659694545
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4845 Issued in TX
Legal business name
MEDICAL CLINIC OF ABILENE, PLLC
Practice address
1100 N 19TH St
Suite 4a
Abilene, TX 79601-2344
Phone
(325) 670-5565
NPI assigned
Mar 5, 2010
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Dr. Lydia AguilarNPI 1982734703
Title
Owner
Phone
(325) 670-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L4845 TX Primary

Addresses

Primary practice location

1100 N 19TH St
Suite 4a
Abilene, TX 79601-2344

Mailing address

1100 N 19TH St
Suite 4a
Abilene, TX 79601-2344

National Provider Directory

National Provider Directory

Locations

5441 Health Center Dr
Abilene, TX 79606
Phone (817) 566-1500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1659694545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N 19TH ST",
            "address_2": "SUITE 4A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 19TH ST",
            "address_2": "SUITE 4A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012344",
            "telephone_number": "325-670-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC OF ABILENE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-670-5565",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 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.