FAMILY HEALTH CLINIC OF TEXOMA
NPI 1770660136
Physician Assistant - Medical in Wichita Falls, TX

Q: What is Icw Ta's NPI number?

The NPI number for Icw Ta is 1770660136. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Family Health Clinic Of Texoma.

Q: What is Icw Ta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Icw Ta was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 01, 2006

1411 13TH ST, WICHITA FALLS, TX 76301(940) 851-9900(940) 851-8089 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Family Health Clinic Of Texoma NPPES

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

FAMILY HEALTH CLINIC OF TEXOMA (NPI 1770660136) is a healthcare organization registered as a medical in Wichita Falls, Texas and active in the NPI registry since November 2006. The organization lists Robert Shawn Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1770660136

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameICW TA

Location Address1411 13TH STWichita Falls, TX 76301-7100

Mailing Address1411 13th St Ste 2Wichita Falls, TX 76301-7100 · (940) 851-9900 · Fax (940) 851-8089

Phone(940) 851-9900

Fax(940) 851-8089

Organization SubpartNo

Authorized OfficialRobert Shawn SmithOwner · (940) 851-9900

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 6, 2008

✔ NPI 1770660136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA00159

1411 13TH ST, Wichita Falls, TX 76301

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Other Names 1

Doing Business AsFamily Health Clinic Of Texoma

Other Identifiers 5

Medicaid17262701TX

Medicaid172462702TX

Medicare PIN00410YTX

Medicare ID-Type Unspecified00410YTX · Medicare Provider Number

Other0056MGTX · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Icw Ta's NPI number?

The NPI number for Icw Ta is 1770660136. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Family Health Clinic Of Texoma.

Where is Icw Ta located?

Icw Ta is located at 1411 13th St, Wichita Falls, TX 76301. The listed phone number is (940) 851-9900.

What is Icw Ta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Icw Ta was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.