MEDICUS DOMUS, LLC (NPI# 1174891832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174891832 |
| Entity Type | Organization |
| Organization Name | MEDICUS DOMUS, LLC |
| Other Organization Name | PHYSICIAN HOUSE CALLS |
| Practice Address |
3302 Boca Chica Blvd Brownsville TX 78521-4202 |
| Practice Telephone | 9562035568 |
| Mailing Telephone | 9562035568 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | DR. C. LYNN ANDERSON (OWNER) |
| Authorized Official Telephone | 9565461000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
F6390 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Physician House Calls | Doing Business As Name - Organization |
| Street Address |
3302 BOCA CHICA BLVD |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78521-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920624 | Joseph John Martinez-o'hara | Internal Medicine | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2006-06-14 |
| 1033769765 | Larry Wright | Nurse Practitioner | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2019-09-15 |
| 1992293906 | Edna Daniela Michi | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1790273712 | David Roberto Medina | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1699207951 | Nathaniel Garcia | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2017-03-28 |
| 1669855870 | Isaac Ornelas | Physical Therapist | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2015-07-07 |
| 1891137576 | Raymundo Castillo Jr. | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2013-07-23 |
| 1801148267 | Daniel Martinez Jr. | Physical Therapist | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2012-10-10 |
| 1942572771 | Elizabeth Ann Betz | Nurse Practitioner | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2012-02-09 |
| 1508164062 | Clark W Pedigo | Physical Therapy Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811401 | D&r Medical Supplies | Durable Medical Equipment & Medical Supplies | 1805 Ruben M. Torrez Ste. C1, Brownsville, TX 78521 | 2020-08-10 |
| 1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
| 1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
| 1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
| 1578128641 | South Texas Lymphedema Care LLC | Occupational Therapist | 35 Casa De Palmas, Brownsville, TX 78521 | 2019-05-04 |
| 1649752262 | Cristina Morales | Specialist/Technologist | 4430 E. 14th St. Unit E, Brownsville, TX 78521 | 2018-08-30 |
| 1831679182 | Josue Peralez | Occupational Therapy Assistant | 4430 E 14th St Unit E Brownsville, Tx 78521, Brownsville, TX 78521 | 2018-08-16 |
| 1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
| 1053822676 | Brownsville Adult and Pediatric Clinic | Nurse Practitioner | 3510 Southmost Road, Suite C, Brownsville, TX 78521 | 2017-10-23 |
| 1174041032 | Stephanie Hernandez | Specialist/Technologist | 532 Fresa, Brownsville, TX 78521 | 2017-08-31 |
| Find all providers in zip 78521 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952103 | Elizabeth Wanjiku Muita | Clinical Nurse Specialist | 4206 Stoney Knoll Ln, Katy, TX 77494-1055 | 2020-11-07 |
| 1558962456 | Keara Rona' Johnson | Clinical Nurse Specialist | 2775 N State Highway 360 Apt 1021, Grand Prairie, TX 75050-7810 | 2020-11-06 |
| 1417503624 | Kamilah Jewel Lyon | Clinical Nurse Specialist | 1111 S Houston Ave # A, Humble, TX 77338-4820 | 2019-08-13 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1073088571 | Lynne Darlene Piascik | Clinical Nurse Specialist | 1643 County Road 2291, Cleveland, TX 77327-0450 | 2018-10-11 |
| 1558843144 | Abc Health Connection, Inc. | Clinical Nurse Specialist | 2019 Crawford St Rm 128, Houston, TX 77002-9002 | 2018-08-30 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1245772128 | Wallace Watts Jr. | Clinical Nurse Specialist | 101 Potasio Street, Fabens, TX 79838 | 2016-11-09 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1184179574 | Tamitha Elaine Mackey | Clinical Nurse Specialist | 18419 Vanhorn Ct, Spring, TX 77379-5153 | 2016-08-16 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 78521 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.