Active NPI
Seguin Family Medicine PA
- Family Medicine Physician
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SEGUIN FAMILY MEDICINE PA
- Practice address
- 515 N King St Ste 103
Seguin, TX 78155 - Phone
- (830) 372-5200
- Fax
- (830) 372-5202
- NPI assigned
- Sep 20, 2006
- 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
- Dr. Nicole Janice Talbot, D.O.
- Title
- Ceo
- Phone
- (830) 372-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
515 N King St Ste 103
Seguin, TX 78155
Mailing address
515 N King St Ste 103
Seguin, TX 78155-4815
Phone (830) 372-5200
Other practice location 1
1339 E Court St Ste 210
Seguin, TX 78155-5141
Phone (830) 372-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186175901 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1067962 | Seguin Family Medicine PA | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
515 N King St
Ste 103
Seguin, TX 78155
Phone (830) 372-5200
1339 E Court St
Ste 210
Seguin, TX 78155
Phone (830) 372-5200
Interoperability endpoints
- admin@seguinfamilymedicine.e-mdsdirect.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Seguin, TX
- NPI 1114911161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1982701835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N KING ST STE 103",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781554815",
"telephone_number": "830-372-5200",
"fax_number": "830-372-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N KING ST STE 103",
"city": "SEGUIN",
"state": "TX",
"postal_code": "78155",
"telephone_number": "830-372-5200",
"fax_number": "830-372-5202"
}
],
"practiceLocations": [
{
"address_1": "1339 E Court St Ste 210",
"address_purpose": "LOCATION",
"city": "Seguin",
"state": "TX",
"postal_code": "781555141",
"country_code": "US",
"telephone_number": "830-372-5200",
"fax_number": "830-372-5202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SEGUIN FAMILY MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "TALBOT",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "JANICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "830-372-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186175901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.