INTERSTATE CLINIC LLC
NPI 1003448770
Clinic/Center - Primary Care in Whitney, TX

Active since February 10, 2020
210 N BOSQUE ST, WHITNEY, TX 76692(254) 221-4342(254) 221-7051 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2020, Feb 10, 2020 (2 updates tracked since 2020).

About Interstate Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERSTATE CLINIC LLC (NPI 1003448770) is a healthcare organization registered as a primary care in Whitney, Texas and active in the NPI registry since February 2020. The organization lists Randall Dale Henderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003448770
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINTERSTATE CLINIC LLC
Location Address210 N BOSQUE STWhitney, TX 76692-2416
Mailing AddressPo Box 1400Whitney, TX 76692-1400 · (254) 707-0095 · Fax (800) 257-1471
Fax(254) 221-7051
Organization SubpartNo
Authorized OfficialRandall Dale HendersonOwner · (254) 707-0095
Enumeration DateFebruary 10, 2020
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
NPI 1003448770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
210 N BOSQUE ST, Whitney, TX 76692

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
210 N BOSQUE ST
WHITNEY, TX 76692

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interstate Clinic LLC's NPI number?

The NPI number for Interstate Clinic LLC is 1003448770. It was assigned to this organization in the NPPES registry on February 10, 2020.

Where is Interstate Clinic LLC located?

Interstate Clinic LLC is located at 210 N Bosque St, Whitney, TX 76692. The listed phone number is (254) 221-4342.

What is Interstate Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Interstate Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Interstate Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Interstate Clinic LLC was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.