Active NPI
Terrell OBGYN Clinic-Hollis PLLC
- Obstetrics Physician
- Terrell, TX
National Provider Identifier
1710436621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- N8191
- Legal business name
- TERRELL OBGYN CLINIC-HOLLIS PLLC
- Practice address
- 109 Tejas Dr
Suite 100
Terrell, TX 75160-6676 - Phone
- (972) 563-3334
- NPI assigned
- Oct 3, 2016
- 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
- Kristi Phipps
- Title
- Employee
- Phone
- (903) 454-1722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | N8191 | TX | Primary |
Addresses
Primary practice location
109 Tejas Dr
Suite 100
Terrell, TX 75160-6676
Mailing address
3900 Joe Ramsey Blvd E
Ste E
Greenville, TX 75401-7727
Phone (903) 454-1722
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704153600000",
"number": "1710436621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 JOE RAMSEY BLVD E",
"address_2": "STE E",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017727",
"telephone_number": "903-454-1722",
"fax_number": "903-454-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 TEJAS DR",
"address_2": "SUITE 100",
"city": "TERRELL",
"state": "TX",
"postal_code": "751606676",
"telephone_number": "972-563-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRELL OBGYN CLINIC-HOLLIS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A",
"authorized_official_last_name": "PHIPPS",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "903-454-1722"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "N8191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terrell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.