NPI age
19 years
Enumerated 2006-11-01
● Active Type 2 · Organization
Icw Ta
Icw Ta is 1 of 2220 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner
Last NPPES update
2008-11-06
Source: monthly bulk 2026-05
How this organization compares
Across 2220 active physician assistant providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1411 13th St
Wichita Falls, TX 763017100
Mailing address
1411 13th St Ste 2
Wichita Falls, TX 763017100
Authorized official
Robert Shawn Smith, MS, PA-C
Owner
📞 9408519900
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 17262701 | |
| 05 (TX) | 172462702 | |
| 01 (TX) | 0056MG | BCBS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FAMILY HEALTH CLINIC OF TEXOMA
Practice context
Single-site organization. Only one practice location on file.
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