Specialist in ABILENE, TX
Last Updated on : Sep 07,2022
ABILENE DIAGNOSTIC CLINIC, PLLC (PRIVIA MEDICAL GROUP WEST TEXAS, PLLC) is a Specialist in ABILENE, United States .
1346242567 is NPI number of ABILENE DIAGNOSTIC CLINIC, PLLC.
ABILENE DIAGNOSTIC CLINIC, PLLC's primary taxonomy code based on NPI Lookup is 174400000X with license number . This taxonomy code refers to Specialist.
ABILENE DIAGNOSTIC CLINIC, PLLC current practice location address is 1665 ANTILLEY RD, ABILENE, TX. ABILENE DIAGNOSTIC CLINIC, PLLC can be reached out via phone at 325-793-5375 and via fax at 325-793-5384 .
You can also correspond with ABILENE DIAGNOSTIC CLINIC, PLLC through mail at mailing address PO BOX 5409, ABILENE, TX, United States. Mailing address contact number is 325-437-8655.
The enumeration date of ABILENE DIAGNOSTIC CLINIC, PLLC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of ABILENE DIAGNOSTIC CLINIC, PLLC is Andrew Kouba (CEO/Authorized Official). Andrew Kouba can be reached at 3254378645.Basic NPI information of ABILENE DIAGNOSTIC CLINIC, PLLC (NPI 1346242567) is provided below.
Name | ABILENE DIAGNOSTIC CLINIC, PLLC |
---|---|
National Provider Id (NPI) | 1346242567 |
Entity Type | Organization |
Practice Address | 1665 ANTILLEY RD,
# 200
ABILENE, TX, United States |
Practice Telephone | 325-793-5375 |
Practice Fax Number | 325-793-5384 |
Mailing Address | PO BOX 5409 ,
ABILENE, TX, United States |
Mailing Telephone | 325-437-8655 |
Mailing Fax Number | 325-437-8647 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 07-Sep-2022 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 174400000X | 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.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
1306102-02 | MEDICAID (05) | TX |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1942746482 | EDELIS OCASIO | Nurse Practitioner, Family | 6750 SW 29TH ST,
TOPEKA, KS, United States |
08-Jan-2017 |
1043514888 | LAURA JUNE GIBBS | Occupational Therapy Assistant | 101 1ST INDUSTRY ST,
ABILENE, KS, United States |
10-Jan-2011 |
1538464425 | DAMIEN MICHAEL STEPHENS | Chiropractor | 311 N CEDAR ST,
ABILENE, KS, United States |
24-Jan-2011 |
1891259289 | KATHRYN RACHEL ERK | Counselor, Addiction (Substance Use Disorder) | 1490 2700 AVE,
ABILENE, KS, United States |
30-Jan-2019 |
1821536780 | ANDREW BROWN | Pharmacist | 105 NW 3RD ST,
ABILENE, KS, United States |
10-Feb-2017 |
1962741967 | SHAN R GEORGE | Nurse Practitioner | 2404 J AVE,
WHITE CITY, KS, United States |
11-Feb-2013 |
1922139096 | COUNTRYSIDE HOME INC | Assisted Living Facility | 2454 HWY 15 NORTH,
ABILENE, KS, United States |
08-Mar-2007 |
1891763942 | CHRISTLIEB E GARDINER | Physician Assistant, Medical | 511 NE 10TH ST,
ABILENE, KS, United States |
14-Mar-2006 |
1487623666 | KENNETH A HANSEN | Dentist, General Practice | 100 NW 2ND ST,
ABILENE, KS, United States |
17-Mar-2006 |
1528367489 | ANNE ATHERTON | Dietitian, Registered | 103 NW 15TH ST,
ABILENE, KS, United States |
17-Mar-2011 |
1841315645 | WALLY'S HOME HEALTH CARE INC. | Home Health | 1908 N BRADY ST,
ABILENE, KS, United States |
20-Mar-2007 |
1467984732 | LAURA ELIZABETH EDWARDS | Social Worker | 617 E ELM ST,
SALINA, KS, United States |
28-Mar-2017 |
1629495031 | RHONDA BATHURST | Acupuncturist | 802 N CEDAR ST,
ABILENE, KS, United States |
24-Mar-2014 |
1417310525 | BRIDGETTE CATHLEEN WUTHNOW | Pharmacist | 3458 FAIR RD,
ABILENE, KS, United States |
05-Apr-2016 |
1073000352 | LESLIE WELSH | Physical Therapist | 662 1900 AVE,
ABILENE, KS, United States |
23-Apr-2018 |
1861459711 | JANIS J ANDERSON | Nurse Practitioner | 511 NE 10TH ST,
ABILENE, KS, United States |
26-Apr-2006 |
1558705905 | JOANNA MARIE BAKER | Occupational Therapy Assistant | 514 NW 4TH ST,
ABILENE, KS, United States |
28-Apr-2013 |
1467897959 | WESLEY RAY DUEY | Chiropractor | 208 N BROADWAY ST,
ABILENE, KS, United States |
09-May-2013 |
1487606380 | JUSTIN B CLARK | Specialist/Technologist, Athletic Trainer | 511 NE 10TH ST,
ABILENE, KS, United States |
17-May-2006 |
1912113408 | TIMOTHY TOBIN JOHNSON | Occupational Therapy Assistant | 1126 N CEDAR ST,
ABILENE, KS, United States |
14-May-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1346242567 is the NPI number of ABILENE DIAGNOSTIC CLINIC, PLLC.
Where is ABILENE DIAGNOSTIC CLINIC, PLLC located?ABILENE DIAGNOSTIC CLINIC, PLLC is located at 1665 ANTILLEY RD, ABILENE, TX.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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