NPIMap

Organization Active NPI

Center for Primary Care Specialists, P.a.

  • Internal Medicine Physician
  • La Marque, TX
National Provider Identifier
1861426033
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D2636 Issued in TX
Legal business name
CENTER FOR PRIMARY CARE SPECIALISTS, P.A.
Practice address
622 Highway 3
La Marque, TX 77568-5936
Phone
(409) 933-0733
Fax
(409) 933-9777
NPI assigned
Jul 11, 2006
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Carol Hulett
Title
Billing and Credentialing
Phone
(409) 933-0733

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D2636 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D2636 TX
Podiatrist 213E00000X 1443 TX

Addresses

Primary practice location

622 Highway 3
La Marque, TX 77568-5936

Mailing address

PO Box 1263
Dickinson, TX 77539-1263
Phone (409) 933-0733

Other identifiers 3

IdentifierTypeStateIssuer
0053KDOtherTXBLUE CROSS BLUE SHIELD
080803201MedicaidTX
DA0825OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1861426033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391263",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HIGHWAY 3",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775685936",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PRIMARY CARE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "HULETT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING",
        "authorized_official_telephone_number": "409-933-0733"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D2636",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "D2636",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0053KD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080803201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA0825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Marque, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.