WICHITA MEDICAL MANAGEMENT, LLC (NPI# 1649755570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649755570 |
| Entity Type | Organization |
| Organization Name | WICHITA MEDICAL MANAGEMENT, LLC |
| Practice Address |
3701 Fairway Blvd Ste 114 Wichita Falls TX 76310-1038 |
| Mailing Address |
Po Box 6807 Abilene TX 79608-6807 |
| Practice Telephone | 3257019270 |
| Mailing Telephone | 3257019270 |
| Mailing Fax Number | 3257019272 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | STEVEN TRACE GEORGE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3257019270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3701 FAIRWAY BLVD STE 114 |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76310-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329067 | Alesha Lynn Dean | Licensed Vocational Nurse | 6211 Talon Trail, Wichita Falls, TX 76310 | 2018-06-07 |
| 1962766741 | Kimberly D'anne Ravelo | Audiologist | 1 Burnside Drive, Wichita Falls, TX 76310 | 2012-06-27 |
| 1407142417 | Tobin Strom | Radiology | Texas Oncology, 5400 Kell West Blvd, Wichita Falls, TX 76310 | 2011-06-28 |
| 1386850055 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 6086 Kovarik Road, Wichita Falls, TX 76310 | 2007-05-16 |
| 1639391394 | Amy Louise Walmsley | Pharmacist | 1724 Woodridge Dr, Wichita Falls, TX 76310 | 2007-05-03 |
| 1619007416 | Stephanie Joy Postma | Specialist/Technologist | #1 West Medical Court, Wichita Falls, TX 76310 | 2007-03-07 |
| 1568518306 | Bestcare Health Services,inc | Home Health | 5800 Kell West Blvd, Suite 500, Wichita Falls, TX 76310 | 2007-01-26 |
| 1851453856 | Anthony Armando Denis Noya | Family Medicine | 8 Prairie Lace Court, Wichita Falls, TX 76310 | 2006-12-15 |
| 1467872127 | William Russell | Family Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2014-04-22 |
| 1528297256 | Vanya David Wagler | Internal Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310 | 2009-07-02 |
| Find all providers in zip 76310 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073565685 | Kell West Family Practice Clinic | Clinic/Center | 5500 Kell West Blvd, Suite 400, Wichita Falls, TX 76310-1612 | 2006-05-16 |
| 1255324141 | North Central Texas Community Health Care Center Inc | Clinic/Center | 200 Mlkjr Blvd, Wichita Falls, TX 76301-1152 | 2005-08-25 |
| 1942793864 | Harmony Integrative Medicine Clinics, Pllc | Clinic/Center | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2018-06-14 |
| 1336521731 | Invigorate Men's Health & Wellness, Pllc | Clinic/Center | 4001 Cedar Elm Ln, Suite B, Wichita Falls, TX 76308-3031 | 2015-06-22 |
| 1811304090 | Kell West Family Practice Clinic | Clinic/Center | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2014-07-19 |
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| 1821696386 | Blue Ocean Health Services LLC | Clinic/Center | 105 Clariden Ranch Rd, Southlake, TX 76092-1947 | 2020-10-15 |
| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
| 1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76310 |
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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.