| Organization Name: | HEART OF TEXAS INTERNAL MEDICINE ASSOCIATES, PA |
| NPI Number: | 1770668543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN WEST (CFO) |
| Mailing Address: | 2005 Highway 183 North Early |
| State: | TX US |
| Postal Code: | 768022157 |
| Phone Number: | 3256433010 |
| Fax Number: | 3256431063 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | J1912 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |