NPIMap

Organization Active NPI

Physicians of King's Daughters, PA

Doing business as King's Daughters Clinic

  • Durable Medical Equipment & Medical Supplies
  • Temple, TX
National Provider Identifier
1801012257
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHYSICIANS OF KING'S DAUGHTERS, PA
Doing business as
King's Daughters Clinic
Practice address
1717 SW H K Dodgen Loop
Temple, TX 76502-1838
Phone
(254) 298-2682
Fax
(254) 778-7197
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward T. McCaffrey, DPMNPI 1043206121
Title
President Board of Directors
Phone
(254) 298-2682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1717 SW H K Dodgen Loop
Temple, TX 76502-1838

Mailing address

1905 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 298-2682

Other names 1

  • King's Daughters Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

708 N Crockett Ave
Cameron, TX 76520
Phone (254) 697-3939

401 W Jasper Dr
Killeen, TX 76542
Phone (254) 215-9679

1713 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 771-8100

601 W State Highway 6
Ste 104
Waco, TX 76710
Phone (254) 741-9729

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801012257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SW H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-298-2682",
            "fax_number": "254-778-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SW H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021838",
            "telephone_number": "254-298-2682",
            "fax_number": "254-778-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF KING'S DAUGHTERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "254-298-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Daughters Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.