HEART OF TEXAS DIRECT PRIMARY CARE, PLLC - NPI 1417732371

Q: What is Heart Of Texas Direct Primary Care, PLLC's specialty?

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

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About Heart Of Texas Direct Primary Care, Pllc NPPES

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

HEART OF TEXAS DIRECT PRIMARY CARE, PLLC (NPI 1417732371) is a healthcare organization registered as a primary care in Waco, Texas and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Trevin Rube, Owner, as its authorized official.

NPPES Registry Identity

NPI1417732371

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHEART OF TEXAS DIRECT PRIMARY CARE, PLLC

Location Address2040 N VALLEY MILLS DRWaco, TX 76710-2561

Mailing Address2040 N Valley Mills DrWaco, TX 76710-2561 · (254) 218-4002 · Fax (254) 323-2692

Phone(254) 218-4002

Organization SubpartNo

Authorized OfficialTrevin RubeOwner · (254) 218-4002

Enumeration DateAugust 29, 2023

Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1417732371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

2040 N VALLEY MILLS DR, Waco, TX 76710

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2296204

Heart Of Texas Direct Primary Care PLLC · Waco, TX

Active · expires Dec 21, 2027

CLIA Number45D2296204

Laboratory TypePractitioner Other

Certificate Effective DateDecember 22, 2025

Certificate Expiration DateDecember 21, 2027

Laboratory DirectorTrevin L. Rube

Laboratory Phone(254) 218-4002

Laboratory LocationHeart Of Texas Direct Primary Care PLLC2040 N Valley Mills Dr, Waco, TX 76710

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Heart Of Texas Direct Primary Care, PLLC's NPI number?

The NPI number for Heart Of Texas Direct Primary Care, PLLC is 1417732371. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Heart Of Texas Direct Primary Care, PLLC located?

Heart Of Texas Direct Primary Care, PLLC is located at 2040 N Valley Mills Dr, Waco, TX 76710. The listed phone number is (254) 218-4002.

What is Heart Of Texas Direct Primary Care, PLLC's specialty?

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

Does Heart Of Texas Direct Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2296204) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heart Of Texas Direct Primary Care, PLLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.