Active NPI
Wichita Diagnostic Partners, PLLC
- Sleep Disorder Diagnostic Clinic/Center
- Corsicana, TX
National Provider Identifier
1669611778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- WICHITA DIAGNOSTIC PARTNERS, PLLC
- Practice address
- 639 N 13TH St
Corsicana, TX 75110-3015 - Phone
- (866) 654-9911
- NPI assigned
- Feb 12, 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. Kameron Smith
- Title
- Member
- Phone
- (866) 654-9911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | TX | Primary |
Addresses
Primary practice location
639 N 13TH St
Corsicana, TX 75110-3015
Mailing address
639 N 13TH St
Corsicana, TX 75110-3015
Phone (866) 654-9911
National Provider Directory
National Provider DirectoryLocations
4110 Kell Blvd
Wichita Falls, TX 76309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321401600000",
"number": "1669611778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 N 13TH ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751103015",
"telephone_number": "866-654-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 N 13TH ST",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751103015",
"telephone_number": "866-654-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WICHITA DIAGNOSTIC PARTNERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2011-11-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KAMERON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "866-654-9911",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.