Phca LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHCA LLC

Practice address

1325 Brentfield Dr
Anna, TX 75409-4267

Phone

(703) 395-9661

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Trent Ambrose Barton

Title

Founder Ceo

Phone

(703) 395-9661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1689442741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BRENTFIELD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094267",
            "telephone_number": "703-395-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BRENTFIELD DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094267",
            "telephone_number": "703-395-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "AMBROSE",
        "authorized_official_title_or_position": "FOUNDER CEO",
        "authorized_official_telephone_number": "703-395-9661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Anna, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.