Organization Active NPI

Jubilee Family Medicine and Diabetes Center, PLLC

  • Family Medicine Physician
  • Sulphur Springs, TX
National Provider Identifier
1982944849
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5218 Issued in TX
Legal business name
JUBILEE FAMILY MEDICINE AND DIABETES CENTER, PLLC
Practice address
1513 Houston St
Sulphur Springs, TX 75482-2315
Phone
(903) 951-1262
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Debbie Latham, RD
Title
Manager
Phone
(903) 951-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X P5218 TX Primary

Addresses

Primary practice location

1513 Houston St
Sulphur Springs, TX 75482-2315

Mailing address

1513 Houston St
Sulphur Springs, TX 75482-2315

National Provider Directory

National Provider Directory

Locations

1513 Houston St
Sulphur Springs, TX 75482
Phone (903) 951-1262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1982944849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HOUSTON ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HOUSTON ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822315",
            "telephone_number": "903-951-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE FAMILY MEDICINE AND DIABETES CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-951-1262",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.