NPIMap

Organization Active NPI

Texomacare

Doing business as TexomaCare Urgent Care

  • Family Medicine Physician
  • Denison, TX
National Provider Identifier
1912419250
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXOMACARE
Doing business as
TexomaCare Urgent Care
Practice address
3126 W FM 120
Denison, TX 75020-1249
Phone
(903) 416-7544
Fax
(903) 416-7545
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Todd Evans
Title
VP
Phone
(610) 768-3300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

3126 W FM 120
Denison, TX 75020-1249

Mailing address

5012 S US Highway 75 Ste 300
Att. Billing
Denison, TX 75020-4589

Other identifiers 1

IdentifierTypeStateIssuer
1273500-04MedicaidTX

Other names 1

  • TexomaCare Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040604000868 TX Part B Supplier - Clinic/Group Practice 3678555307 Receives reassigned benefits from 69 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitesboro, TX; Van Alstyne, TX; Sherman, TX; Pottsboro, TX; Denison, TX; Anna, TX; Bonham, TX
O20040624000037 OK Part B Supplier - Clinic/Group Practice 3678555307 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durant, OK; Madill, OK

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Uhs of Texoma Inc

    dba TMC Medical Supply and Scrubs

    • Durable Medical Equipment & Medical Supplies
    • Denison, TX
    • NPI 1306142922

    Member Of

    NPD member

Locations

2828 W University Blvd
Ste 116
Durant, OK 74701
Phone (580) 920-1922

5012 US Highway 75
Ste 225
Denison, TX 75020
Phone (903) 416-6025

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

111 E Highway 120
Ste 104
Pottsboro, TX 75076
Phone (903) 786-3911

557 W FM 120
Pottsboro, TX 75076
Phone (903) 786-3911

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1912419250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATT. BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 W FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201249",
            "telephone_number": "903-416-7544",
            "fax_number": "903-416-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1273500-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TexomaCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TexomaCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.