Organization Active NPI

Heart of Texas Internal Medicine Associates, PA

Doing business as One Source Health Center

  • Family Medicine Physician
  • San Saba, TX
National Provider Identifier
1912093832
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1912 Issued in TX
Legal business name
HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA
Doing business as
One Source Health Center
Practice address
403 West Wallace
San Saba, TX 76877-4433
Phone
(325) 372-5701
Fax
(325) 372-3249
NPI assigned
Oct 5, 2006
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Bryan West
Title
Cfo
Phone
(325) 643-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X J1912 TX
Family Medicine Physician 207Q00000X J1912 TX Primary

Addresses

Primary practice location

403 West Wallace
San Saba, TX 76877-4433

Mailing address

PO Box 520
Brownwood, TX 76804-0520
Phone (325) 643-3300

Other names 1

  • One Source Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1912093832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040520",
            "telephone_number": "325-643-3300",
            "fax_number": "325-641-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WEST WALLACE",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768774433",
            "telephone_number": "325-372-5701",
            "fax_number": "325-372-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-643-3300"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "J1912",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Saba, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.