=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013329259
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OBSERVATION SERVICES OF WICHITA FALLS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2014
-----------------------------------------------------
Last Update Date | 10/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 11TH ST
-----------------------------------------------------
City | WICHITA FALLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76301-4300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-642-8850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 5043
-----------------------------------------------------
City | WICHITA FALLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76307-5043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-642-8850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTIAL OWNER
-----------------------------------------------------
Name | JOHN HILMI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 940-642-8850
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------