NPI age
13 years
Enumerated 2012-12-17
● Active Type 2 · Organization
Physicians Of King'S Daughters, PA
Physicians Of King'S Daughters, PA is 1 of 4633 obstetrics & gynecology organizations in Texas.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miner
Credentialing Coordinator
Last NPPES update
2012-12-17
Source: monthly bulk 2026-05
How this organization compares
Across 4633 active obstetrics & gynecology providers in Texas.
NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2025 Memory Ln, Suite 500
Harker Heights, TX 765487487
Mailing address
1905 Sw H K Dodgen Loop
Temple, TX 765021814
Authorized official
Virginia Rl Miner
Credentialing Coordinator
📞 2542982682
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Krystal Jones Behavior Technician NPI 1881365062
- Megan McNeely Behavior Technician NPI 1457015109
- Zachary Pustka Behavior Technician NPI 1679269161
- Jason Wieman, M.D. Family Medicine NPI 1508847294
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00C399 | GROUP MEDICARE NUMBER |
| 01 (TX) | 110836702 | GROUP MEDICAID NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
King's Daughters Clinic
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.