Organization Active NPI

Texoma Interstate Ventures

  • Family Medicine Physician
  • Denison, TX
National Provider Identifier
1730117219
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXOMA INTERSTATE VENTURES
Practice address
3126 W FM 120
Denison, TX 75020
Phone
(903) 416-7544
Fax
(903) 416-7545
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
W Mackey Watkins, MD
Title
President Ceo
Phone
(903) 416-4126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3126 W FM 120
Denison, TX 75020

Mailing address

1000 Memorial Dr
Denison, TX 75020-2035
Phone (903) 416-5144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1730117219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEMORIAL DR",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202035",
            "telephone_number": "903-416-5144",
            "fax_number": "903-416-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 W FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA INTERSTATE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "MACKEY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "903-416-4126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.