NPIMap

Organization Active NPI

Texas Outpatient & Infusion Center

  • Clinic/Center
  • Goldthwaite, TX
National Provider Identifier
1871323089
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TEXAS OUTPATIENT & INFUSION CENTER
Practice address
1503 W Front St Ste B
Goldthwaite, TX 76844-2056
Phone
(254) 879-4900
NPI assigned
Aug 2, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Larry Gene Troxell, PHD
Title
Ceo
Phone
(254) 879-4900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Infusion Therapy Clinic/Center 261QI0500X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1503 W Front St Ste B
Goldthwaite, TX 76844-2056

Mailing address

10201 Highway 16
Comanche, TX 76442-4462
Phone (254) 879-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810000373 TX Part B Supplier - Clinic/Group Practice 6305229204 Receives reassigned benefits from 12 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Abilene, TX; Brownwood, TX; Goldthwaite, TX; Stephenville, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Texas Outpatient Infusion Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2225 S Danville Dr
Ste 2
Abilene, TX 79605
Phone (325) 692-8346

1503 W Front St
Ste B
Goldthwaite, TX 76844
Phone 25487949004451

Practitioners & affiliated clinicians

Practitioners 11

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": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1871323089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HIGHWAY 16",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764424462",
            "telephone_number": "254-879-4900",
            "fax_number": "254-879-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W FRONT ST STE B",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768442056",
            "telephone_number": "254-879-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS OUTPATIENT & INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "TROXELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-879-4900",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldthwaite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.