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WOMACK PRESTON FAMILY MEDICAL CLINIC NPI 1811102981


NPI Information

NPI: 1811102981
Provider Name: WOMACK PRESTON FAMILY MEDICAL CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D1074416

Address:
1122 E AUSTIN ST
PARIS, TX
ZIP 75460
Phone: (903) 783-1999
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WOMACK PRESTON FAMILY MEDICAL CLINIC is a family nurse practitioner in Paris, TX. WOMACK PRESTON FAMILY MEDICAL CLINIC NPI is 1811102981. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1122 E AUSTIN ST
PARIS, TX
ZIP 75460-424
Phone: (903) 783-1999
Fax: (903) 783-1167

The provider's authorized official is Donna Womack .
The authorized official title is Co-owner and has the following contact phone number (903) 783-1999.

The CLIA number assigned to this NPI record is 45D1074416 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily227977TEXASNo
2363LF0000XNurse PractitionerFamily629913TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1191033301MEDICAIDTEXAS
200X975MEDICARE PINTEXAS
30019PVOTHERTEXASBCBS
4DG4831OTHERTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.