OrganizationActive
Theobald Medical Center LLC
NPI 1700731957 · Primary Care Nurse Practitioner · Kemp, TX
Provider details
- NPI number
- 1700731957
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angela Theobald, Owner(940) 230-3173
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13058 E Highway 175 Ste 4
Kemp, TX 75143-4596
Phone: (940) 230-3173
Street-level locationGet directions
Mailing address
13058 E Highway 175 Ste 4
Kemp, TX 75143-4596
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.