=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528280914
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAS HEALTH CENTER, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2007
-----------------------------------------------------
Last Update Date | 11/08/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4804 N. NAVARRO ST.
-----------------------------------------------------
City | VICTORIA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-576-0330
-----------------------------------------------------
Fax | 361-576-0556
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4804 N. NAVARRO ST.
-----------------------------------------------------
City | VICTORIA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-576-0330
-----------------------------------------------------
Fax | 361-576-0556
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | JOHN TAYLOR STARKEY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 361-576-0330
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | H0843
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------