Active NPI
Total Womens Care of East Texas, PA
- Obstetrics & Gynecology Physician
- Palestine, TX
National Provider Identifier
1962720847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090TM | Other | TX | BC/BS OF TEXAS |
| 212117002 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.