Organization Active NPI

Central Texas Vascular Associates, PLLC

  • Nephrology Physician
  • Harker Heights, TX
National Provider Identifier
1891180485
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CENTRAL TEXAS VASCULAR ASSOCIATES, PLLC
Practice address
625 W Central Texas Expy
Harker Heights, TX 76548-1600
Phone
(254) 953-0228
Fax
(254) 690-0497
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Woody J Reese, MD
Title
Manager
Phone
(254) 666-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

625 W Central Texas Expy
Harker Heights, TX 76548-1600

Mailing address

5940 Crosslake Pkwy
Waco, TX 76712-6986
Phone (254) 666-2999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1891180485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126986",
            "telephone_number": "254-666-2999",
            "fax_number": "254-666-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CENTRAL TEXAS EXPY",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481600",
            "telephone_number": "254-953-0228",
            "fax_number": "254-690-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS VASCULAR ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "WOODY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "254-666-2999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.