Active NPI
Utc Providers - Killeen Inc
Doing business as UTC Health & Rehab - Killeen
- Family Medicine Physician
- Killeen, TX
National Provider Identifier
1750795894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UTC PROVIDERS - KILLEEN INC
- Doing business as
- UTC Health & Rehab - Killeen
- Practice address
- 2206 E Central Texas Expy
Killeen, TX 76543-5315 - Phone
- (254) 213-5111
- Fax
- (512) 375-3865
- NPI assigned
- Jun 17, 2014
- 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
- Nathalie Blackstock
- Title
- Executive Director, RCM Division
- Phone
- (512) 323-6900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Occupational Medicine Physician | 2083X0100X |
Addresses
Primary practice location
2206 E Central Texas Expy
Killeen, TX 76543-5315
Mailing address
8900 Shoal Creek Blvd
BLDG 300
Austin, TX 78757-6810
Phone (512) 323-6900
Other names 1
- UTC Health & Rehab - Killeen
National Provider Directory
National Provider DirectoryLocations
2206 E Central Texas Expy
Killeen, TX 76543
Phone (254) 213-5111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1750795894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 SHOAL CREEK BLVD",
"address_2": "BLDG 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576810",
"telephone_number": "512-323-6900",
"fax_number": "512-375-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 E CENTRAL TEXAS EXPY",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435315",
"telephone_number": "254-213-5111",
"fax_number": "512-375-3865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UTC PROVIDERS - KILLEEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-17",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "BLACKSTOCK",
"authorized_official_first_name": "NATHALIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, RCM DIVISION",
"authorized_official_telephone_number": "512-323-6900"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UTC Health & Rehab - Killeen",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Killeen, TX
- Union Treatment Centers (Union Treatment Centers-Killeen)
- United Medevac Solutions, Inc
- United States Army (CRDAMC Medical Center)
- Bianca Urena
- Joelle Urquhart, OTR, MOT
- Uvalde County Hospital Authority (Rosewood Heights)
- Vanessa Vaden, FNP
- Shobha R Vadlapatla, MD
- Betty Valentin, R.N.
- Valiant Cardiopulmonary Independent Diagnostic Testing Facility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.