Active NPI
JP Letellier MD PA
- Medical Specialty Clinic/Center
- Seminole, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- M3003
- Legal business name
- JP LETELLIER MD PA
- Practice address
- 1004 Hobbs Hwy
Suite 4
Seminole, TX 79360-3300 - Phone
- (432) 758-4960
- Fax
- (432) 758-4979
- NPI assigned
- Aug 28, 2007
- Last updated
- Feb 23, 2016
- 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
- Jean-Pierre Letellier
- Title
- Ceo
- Phone
- (432) 758-4960
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | M3003 | TX | Primary |
Addresses
Primary practice location
1004 Hobbs Hwy
Suite 4
Seminole, TX 79360-3300
Mailing address
1004 Hobbs Hwy
Suite 4
Seminole, TX 79360-3300
Phone (432) 758-4960
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178909105 | Medicaid | TX | |
| 141430 | Other | TX | SUPERIOR CHIPS |
| 178909106 | Other | TX | MEDICAID HEALTHSTEPS |
| 0025PT | Other | TX | BLUE CROSS AND BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Seminole, TX
- NPI 1235107657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456185600000",
"number": "1841484409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HOBBS HWY",
"address_2": "SUITE 4",
"city": "SEMINOLE",
"state": "TX",
"postal_code": "793603300",
"telephone_number": "432-758-4960",
"fax_number": "432-758-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HOBBS HWY",
"address_2": "SUITE 4",
"city": "SEMINOLE",
"state": "TX",
"postal_code": "793603300",
"telephone_number": "432-758-4960",
"fax_number": "432-758-4979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JP LETELLIER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2016-02-23",
"status": "A",
"authorized_official_last_name": "LETELLIER",
"authorized_official_first_name": "JEAN-PIERRE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "432-758-4960"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TX",
"license": "M3003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178909105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR CHIPS",
"identifier": "141430",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID HEALTHSTEPS",
"identifier": "178909106",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "0025PT",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.