Trott Memorial Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TROTT MEMORIAL CLINIC

Doing business as

Trott Memorial Clinic

Practice address

212 E Morris St
Yoakum, TX 77995-4051

Phone

(361) 293-3553

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Concepcion Cantu

Title

Nurse

Phone

(361) 293-3553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trott Memorial Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crayton Edwin Ciborowski, M.D.

  • Family Medicine Physician
  • Yoakum, TX
  • NPI 1558326504
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1992395503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E MORRIS ST",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779954051",
            "telephone_number": "361-293-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MORRIS ST",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779954051",
            "telephone_number": "361-293-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROTT MEMORIAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "361-293-3553"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558326504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trott Memorial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emilie Walker, OTR
• David H Watson, M.D.
• Courtney Welch, MD
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• Yoakum Chiropractic Center PC

• Primary Care Clinic/Center in Yoakum, TX
• Providers in Yoakum, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.