DMCTX1, PLLC (NPI# 1487137824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487137824 |
| Entity Type | Organization |
| Organization Name | DMCTX1, PLLC |
| Other Organization Name | DEDICATED MEDICAL CENTER, URGENT CARE |
| Practice Address |
703 W. Bluff St. Woodville TX 75979-5131 |
| Practice Telephone | 4092002811 |
| Practice Fax Number | 4092002856 |
| Mailing Telephone | 4092002811 |
| Mailing Fax Number | 4092002856 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | DR. JOSEPH A KOCH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4092002811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dedicated Medical Center, Urgent Care | Doing Business As Name - Organization |
| Street Address |
703 W. BLUFF ST. |
| City | WOODVILLE |
| State | TX |
| Zip Code | 75979-5131 |
| 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 |
| 1225583271 | Bukola Durojaiye | Nurse Practitioner | 104 N Beech St, Tyler County Hospital Family Medical Clinic, Woodville, TX 75979 | 2016-08-19 |
| 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 |
| Find all providers in zip 75979 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| 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.