Organization Active NPI

Utc Providers - Killeen Inc

Doing business as UTC Health & Rehab - Killeen

  • Family Medicine Physician
  • Killeen, TX
National Provider Identifier
1750795894
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 26, 2015

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.