1205878329 NPI number — ADRIAN N BILLINGS MD

Table of content: ADRIAN N BILLINGS MD (NPI 1205878329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205878329 NPI number — ADRIAN N BILLINGS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BILLINGS
Provider First Name:
ADRIAN
Provider Middle Name:
N
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205878329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O.BOX 267
Provider Second Line Business Mailing Address:
PRESIDIO COUNTY HEALTH SERVICES
Provider Business Mailing Address City Name:
MARFA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-729-1812
Provider Business Mailing Address Fax Number:
432-729-1806

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 S. SUMMER ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARFA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-729-1800
Provider Business Practice Location Address Fax Number:
432-729-1806
Provider Enumeration Date:
06/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  L9626 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8X6871 . This is a "BCBS PIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 188971802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 189971801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".