Organization Active NPI

Iwc of Texas LLC

  • Internal Medicine Physician
  • Mission, TX
National Provider Identifier
1740024454
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IWC OF TEXAS LLC
Practice address
315 N Shary Rd Ste 1014
Mission, TX 78572-8235
Phone
(956) 205-2800
Fax
(956) 205-2427
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
IWC INVESTMENTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Charles Dappen
Title
President
Phone
(956) 205-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

315 N Shary Rd Ste 1014
Mission, TX 78572-8235

Mailing address

315 N Shary Rd Ste 1014
Mission, TX 78572-8235
Phone (956) 205-2800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1740024454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SHARY RD STE 1014",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728235",
            "telephone_number": "956-205-2800",
            "fax_number": "956-205-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SHARY RD STE 1014",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728235",
            "telephone_number": "956-205-2800",
            "fax_number": "956-205-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWC OF TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IWC INVESTMENTS LLC",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "DAPPEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-205-2800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

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