Organization Active NPI

Robert C Allensworth MD,PA

  • General Practice Physician
  • Mineral Wells, TX
National Provider Identifier
1740470582
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G7972 Issued in TX
Legal business name
ROBERT C ALLENSWORTH MD,PA
Practice address
218 SW 26TH Ave
Mineral Wells, TX 76067-8248
Phone
(940) 325-2526
Fax
(940) 325-1521
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Robert C Allensworth, MD,PA
Title
Owner
Phone
(940) 325-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X G7972 TX Primary

Addresses

Primary practice location

218 SW 26TH Ave
Mineral Wells, TX 76067-8248

Mailing address

218 SW 26TH Ave
Mineral Wells, TX 76067-8248
Phone (940) 325-2526

National Provider Directory

National Provider Directory

Locations

218 SW 26th Ave
Mineral Wells, TX 76067
Phone (940) 325-4471

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1740470582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SW 26TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678248",
            "telephone_number": "940-325-2526",
            "fax_number": "940-325-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW 26TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678248",
            "telephone_number": "940-325-2526",
            "fax_number": "940-325-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C ALLENSWORTH MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "ALLENSWORTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-325-2526",
        "authorized_official_credential": "MD,PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "G7972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.