KTD, PLLC (NPI# 1841705100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841705100 |
| Entity Type | Organization |
| Organization Name | KTD, PLLC |
| Other Organization Name | CONVENIENT CARE CLINIC |
| Practice Address |
2216 W Washington Stephenville TX 76401-7640 |
| Mailing Address |
2216 W Washington St Stephenville TX 76401-3838 |
| Practice Telephone | 2549655888 |
| Practice Fax Number | 2549655865 |
| Mailing Telephone | 2549655888 |
| Mailing Fax Number | 2549655865 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | DR. KELLY S. DOGGETT (PHYSICIAN/SOLE MEMBER) |
| Authorized Official Telephone | 2549655888 |
| Authorized Official Credential | MD |
| 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 |
| Other Name | Type Code |
|---|---|
| Convenient Care Clinic | Doing Business As Name - Organization |
| Street Address |
2216 W WASHINGTON |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-7640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891003802 | Shane Gilliam, M.d., P.a. | Clinic/Center | 630 N Graham Street, Stephenville, TX 76401-3552 | 2010-09-24 |
| 1598886129 | Family Medicine Clinic, Pa | Clinic/Center | 251 E Highway 8, Stephenville, TX 76401-2207 | 2007-04-02 |
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|---|---|---|---|---|
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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 | STEPHENVILLE |
| Zip Code | 76401 |
Please comment or provide details below to improve the information on KTD, PLLC.
| 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.