Active NPI
Texomacare
- Family Medicine Physician
- Bonham, TX
National Provider Identifier
1770536518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TEXOMACARE
- Practice address
- 2201 N Hwy 121
Bonham, TX 75418-2345 - Phone
- (903) 583-3111
- Fax
- (903) 583-1444
- NPI assigned
- May 19, 2006
- Organization subpart
- Yes
- Parent organization
- TEXOMACARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Evans
- Title
- VP
- Phone
- (610) 768-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2201 N Hwy 121
Bonham, TX 75418-2345
Mailing address
5012 US Hwy 75 S, Ste 300
Att. Billing
Denison, TX 75020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127350002 | Medicaid | TX |
Other names 1
- TexomaCare Bonham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Texomacare
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bonham, TX
- NPI 1427233857
-
- Pediatric Nurse Practitioner
- Denison, TX
- NPI 1861595902
-
- Family Medicine Physician
- Denison, TX
- NPI 1255377487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561680000000",
"number": "1770536518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 US HWY 75 S, STE 300",
"address_2": "ATT. BILLING",
"city": "DENISON",
"state": "TX",
"postal_code": "75020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N HWY 121",
"city": "BONHAM",
"state": "TX",
"postal_code": "754182345",
"telephone_number": "903-583-3111",
"fax_number": "903-583-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXOMACARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEXOMACARE",
"enumeration_date": "2006-05-19",
"last_updated": "2019-06-28",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "610-768-3300"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127350002",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TexomaCare Bonham",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TexomaCare Bonham",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.