TCH FAMILY PRACTICE CLINIC (NPI# 1407186950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407186950 |
Entity Type | Organization |
Organization Name | TCH FAMILY PRACTICE CLINIC |
Practice Address |
104 N Beech St Woodville TX 75979-4718 |
Practice Telephone | 4092832822 |
Practice Fax Number | 4092837852 |
Mailing Telephone | 4092832822 |
Mailing Fax Number | 4092837852 |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-01-06 |
Authorized Official Name | MRS. BETTY HOLTON (OFFICE MANAGER) |
Authorized Official Telephone | 4092832822 |
Is Organization Subpart | Y |
Parent Organization Name | TYLER COUNTY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
608112 | TX | Ambulatory Health Care Facilities |
Street Address |
104 N BEECH ST |
City | WOODVILLE |
State | TX |
Zip Code | 75979-4718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518963545 | James Mcfarley Brown | Family Medicine | 104 N Beech St, Woodville, TX 75979-4718 | 2005-06-23 |
1366080376 | Andrea Dawn Yancey | Nurse Practitioner | 104 N Beech St, Woodville, TX 75979-4718 | 2019-12-20 |
1447808373 | Cheryl Spell | Nurse Practitioner | 104 N Beech St, Woodville, TX 75979-4718 | 2019-09-04 |
1225583271 | Bukola Durojaiye | Nurse Practitioner | 104 N Beech St, Tyler County Hospital Family Medical Clinic, Woodville, TX 75979 | 2016-08-19 |
1700117603 | Kathleen Castilaw Harris | Nurse Practitioner | 104 N Beech St, Woodville, TX 75979-4718 | 2010-01-18 |
1326274119 | James Allen Clark | General Practice | 104 N Beech St, Woodville, TX 75979-4718 | 2009-06-08 |
1689851370 | Lauren De'an Conner | Physician Assistant | 104 N Beech St, Woodville, TX 75979-4718 | 2008-01-25 |
1023120987 | Cassandra Sanford Navarrete | Physician Assistant | 104 N Beech St, Woodville, TX 75979-4718 | 2006-08-31 |
1083662670 | Kim D Georgiou | Family Medicine | 104 N Beech St, Woodville, TX 75979-4718 | 2006-05-05 |
1316945769 | Floyd G Pohle | Pediatrics | 104 N Beech St, Woodville, TX 75979-4718 | 2005-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902439649 | Miesha Mcneal | Licensed Vocational Nurse | 1284 Cr 2100, Woodville, TX 75979 | 2020-02-21 |
1043871890 | Lyndsey Nicole Kinard | Home Health Aide | 114 Pr 6138, Woodville, TX 75979 | 2019-06-24 |
1285004366 | Curtis Evans | Nurse Practitioner | 703 W Bluff St, Woodville, TX 75979 | 2015-10-01 |
1558738336 | Kayla Butter | Speech-Language Pathologist | 186 County Road 4210, Woodville, TX 75979 | 2015-08-27 |
1518286038 | Dorothy Jean Griffin | Counselor | 123 Cr 4260 (hwy 69 South @ Seneca), Woodville, TX 75979 | 2010-05-24 |
1447259627 | Tyler County Hospital District | General Acute Care Hospital | 1100 W Bluff St, Woodville, TX 75979 | 2005-07-19 |
1073510285 | Paula Lajean Denson | Family Medicine | 104 N. Beech St, Woodville, TX 75979 | 2005-07-01 |
1407899495 | Alicia D Scoggins | Nurse Practitioner | 900 West Bluff, Woodville, TX 75979-0900 | 2006-06-14 |
1174696140 | Kerry L Evans | Emergency Medicine | 1922 Fm 256 W, Woodville, TX 75979-2333 | 2006-11-16 |
1336420520 | Red Unlimited LLC | Contractor | 4506 Fm 1632, Woodville, TX 75979-2338 | 2011-09-01 |
Find all providers in zip 75979 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.