Organization Active NPI

Total Womens Care of East Texas, PA

  • Obstetrics & Gynecology Physician
  • Palestine, TX
National Provider Identifier
1962720847
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TOTAL WOMENS CARE OF EAST TEXAS, PA
Practice address
126 Medical Dr
Suite B
Palestine, TX 75801-8506
Phone
(903) 729-4000
Fax
(903) 729-3600
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Mrs. Sandra Whitworth
Title
Billing Supervisor
Phone
(903) 727-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

126 Medical Dr
Suite B
Palestine, TX 75801-8506

Mailing address

126 Medical Dr
Suite B
Palestine, TX 75801-8506
Phone (903) 729-4000

Other identifiers 2

IdentifierTypeStateIssuer
0090TMOtherTXBC/BS OF TEXAS
212117002MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1962720847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MEDICAL DR",
            "address_2": "SUITE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018506",
            "telephone_number": "903-729-4000",
            "fax_number": "903-729-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MEDICAL DR",
            "address_2": "SUITE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018506",
            "telephone_number": "903-729-4000",
            "fax_number": "903-729-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WOMENS CARE OF EAST TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "903-727-0110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "0090TM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212117002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.