Organization Active NPI

Total Care Medical, PLLC

Doing business as Your Medical Home, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bridge City, TX
National Provider Identifier
1710748421
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
TOTAL CARE MEDICAL, PLLC
Doing business as
Your Medical Home, PLLC
Practice address
1650 Texas Ave Ste E
Bridge City, TX 77611-3501
Phone
(409) 792-5521
Fax
(409) 792-5523
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Tifanie Parry
Title
Admin
Phone
(409) 792-5521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X Primary

Addresses

Primary practice location

1650 Texas Ave Ste E
Bridge City, TX 77611-3501

Mailing address

1650 Texas Ave Ste E
Bridge City, TX 77611-3501
Phone (409) 792-5521

Other names 1

  • Your Medical Home, PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1710748421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE STE E",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113501",
            "telephone_number": "409-792-5521",
            "fax_number": "409-792-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE STE E",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113501",
            "telephone_number": "409-792-5521",
            "fax_number": "409-792-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIFANIE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "409-792-5521"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Medical Home, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.