Organization Active NPI

Extensivists of Texas PLLC

  • Hospitalist Physician
  • New Braunfels, TX
National Provider Identifier
1871116962
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
EXTENSIVISTS OF TEXAS PLLC
Practice address
1672 Independence Dr Ste 310
New Braunfels, TX 78132-3982
Phone
(830) 730-5025
Fax
(830) 730-4207
NPI assigned
May 22, 2020
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Veronica Harlan
Title
Credentialing Manager
Phone
(830) 730-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

1672 Independence Dr Ste 310
New Braunfels, TX 78132-3982

Mailing address

PO Box 310332
New Braunfels, TX 78131-0332
Phone (830) 730-8580

National Provider Directory

National Provider Directory

Locations

1672 Independence Dr
Ste 310
New Braunfels, TX 78132
Phone (830) 730-5025

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1871116962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310332",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310332",
            "telephone_number": "830-730-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 INDEPENDENCE DR STE 310",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323982",
            "telephone_number": "830-730-5025",
            "fax_number": "830-730-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVISTS OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "830-730-5025"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.