Organization Active NPI

Pablo Cortez Teveni, MD PA

  • Family Medicine Physician
  • Iowa Park, TX
National Provider Identifier
1942573407
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2972 Issued in TX
Legal business name
PABLO CORTEZ TEVENI, MD PA
Practice address
405 SE Access Rd
Iowa Park, TX 76367-6985
Phone
(940) 592-3500
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Pablo Cortez Teveni
Title
President
Phone
(432) 425-7632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H2972 TX Primary

Addresses

Primary practice location

405 SE Access Rd
Iowa Park, TX 76367-6985

Mailing address

2045 J B Riley Rd
Burkburnett, TX 76354-5754
Phone (432) 425-7632

Other identifiers 2

IdentifierTypeStateIssuer
00H01XOtherTXBCBS
136392101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1942573407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 J B RILEY RD",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763545754",
            "telephone_number": "432-425-7632",
            "fax_number": "940-432-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SE ACCESS RD",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763676985",
            "telephone_number": "940-592-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO CORTEZ TEVENI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "TEVENI",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "CORTEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-425-7632"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00H01X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136392101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.