Organization Active NPI

Heart of Texas Internal Medicine Associates, PA

Doing business as One Source Health Center

  • Family Medicine Physician
  • Cross Plains, TX
National Provider Identifier
1962592113
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0174 Issued in TX
Legal business name
HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA
Doing business as
One Source Health Center
Practice address
109 North 2ND Street
Cross Plains, TX 76443-2401
Phone
(254) 725-7106
Fax
(254) 725-7327
NPI assigned
Oct 16, 2006
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Scott A Anderson
Title
Cfo
Phone
(325) 643-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0174 TX Primary

Addresses

Primary practice location

109 North 2ND Street
Cross Plains, TX 76443-2401

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1962592113",
    "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": "109 NORTH 2ND STREET",
            "city": "CROSS PLAINS",
            "state": "TX",
            "postal_code": "764432401",
            "telephone_number": "254-725-7106",
            "fax_number": "254-725-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "325-643-3300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D0174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cross Plains, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.