R. Karl Mahaffey, MD P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4495 Issued in TX

Legal business name

R. KARL MAHAFFEY, MD P.A.

Practice address

2507 Lake Rd
A
Huntsville, TX 77340-5756

Phone

(936) 436-9098

Fax

(936) 439-9098

NPI assigned

Sep 11, 2008

Last updated

Nov 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Karl Mahaffey, MDNPI 1871591719

Title

Owner

Phone

(936) 293-9332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert Karl Mahaffey, MD

  • Family Medicine Physician
  • Huntsville, TX
  • NPI 1871591719
  Authorized official Same address or phone

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1780833905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 LAKE RD",
            "address_2": "A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405756",
            "telephone_number": "936-436-9098",
            "fax_number": "936-439-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 LAKE RD",
            "address_2": "A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405756",
            "telephone_number": "936-436-9098",
            "fax_number": "936-439-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. KARL MAHAFFEY, MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "MAHAFFEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-293-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.