Organization Active NPI

Terrell OBGYN Clinic-Hollis PLLC

  • Obstetrics Physician
  • Terrell, TX
National Provider Identifier
1710436621
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
N8191 Issued in TX
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

Updated by the provider on Jan 2, 2024

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)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.