Organization Active NPI

JP Letellier MD PA

  • Medical Specialty Clinic/Center
  • Seminole, TX
National Provider Identifier
1841484409
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
M3003 Issued in TX
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Jean-Pierre LetellierNPI 1235107657
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
178909105MedicaidTX
141430OtherTXSUPERIOR CHIPS
178909106OtherTXMEDICAID HEALTHSTEPS
0025PTOtherTXBLUE CROSS AND BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.