TEXOMA KIDNEY CARE, P.A. (NPI# 1306898374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306898374 |
| Entity Type | Organization |
| Organization Name | TEXOMA KIDNEY CARE, P.A. |
| Practice Address |
201 Memorial Dr Suite 201 Denison TX 75020-2026 |
| Practice Telephone | 9034635057 |
| Practice Fax Number | 9034637661 |
| Mailing Telephone | 9034635057 |
| Mailing Fax Number | 9034637661 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | GLEN ROBERT WILLIE (PRESIDENT) |
| Authorized Official Telephone | 9034635057 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G0858 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 0031EE | 01 |
| OK | OK RAILROAD MEDICARE | DF3764 | 01 |
| Street Address |
201 MEMORIAL DR SUITE 201 |
| City | DENISON |
| State | TX |
| Zip Code | 75020-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
| 1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
| 1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
| Find all providers in zip 75020 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699111476 | Dermatology Associates of Denison Pllc | Specialist | 5130 Pool Road, Suite 200, Denison, TX 75020-4506 | 2013-05-20 |
| 1932387628 | Teresa A Rockhill Md | Specialist | 3405 W F.m. 120, Denison, TX 75020 | 2008-02-05 |
| 1003950957 | Jeff W Meincke-reza M D | Specialist | 1014 Memorial Dr Ste 314, Denison, TX 75020-2084 | 2007-02-16 |
| 1255419404 | Naga S Tripuraneni | Specialist | 1014 Memorial Dr Ste G12, Denison, TX 75020-2090 | 2006-11-02 |
| 1528095502 | Clifford David Garvin | Specialist | 1300 Hwy 91 North, Denison, TX 75020 | 2006-06-27 |
| 1932186152 | Charles R Phelps | Specialist | 5016 S Us Hwy 75, Radiology Department, Denison, TX 75020-4584 | 2005-12-29 |
| 1962489104 | Peter Michael Mcgowan | Specialist | 5016 S. Us Hwy 75, Radiology Dept, Denison, TX 75020 | 2005-12-29 |
| 1538142971 | Teresa A Rockhill | Specialist | 3405 W Fm 120, Denison, TX 75020-1549 | 2005-11-21 |
| 1063493526 | Febe Linda Oro-castillo | Specialist | 1105 Memorial Dr, Denison, TX 75020-2034 | 2005-11-10 |
| 1366747420 | Hill Medical Services Pllc | Specialist | 5016 S Us Highway 75, Denison, TX 75020-4584 | 2011-01-21 |
| Find all providers in DENISON | ||||
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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.