Active NPI
Texoma Interstate Ventures
- Family Medicine Physician
- Denison, TX
National Provider Identifier
1730117219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Denison, TX
- NPI 1275658395
-
- Family Nurse Practitioner
- Sherman, TX
- NPI 1982724712
-
- Family Medicine Physician
- Sherman, TX
- NPI 1598809741
-
- Family Nurse Practitioner
- Wichita Falls, TX
- NPI 1093839821
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
- Texoma Brain and Spine Surgery PLLC
- Texoma Brain and Spine Surgery, PLLC
- Texoma Emergency Physicians PLLC
- Texoma Foot and Ankle Specialists PA
- Texoma Heart Group, PA
- Texoma Kidney Care, P.a.
- Texoma Liver Center PLLC
- Texoma Nephrology Associates
- Texoma Orthopedic and Spine PLLC
- Texoma Psychological Services PLLC
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.