MAVERICK COUNTY MEDICAL FAMILY CENTER (NPI# 1467583286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467583286 |
| Entity Type | Organization |
| Organization Name | MAVERICK COUNTY MEDICAL FAMILY CENTER |
| Practice Address |
290 Jefferson St Eagle Pass TX 78852-4820 |
| Practice Telephone | 8307733331 |
| Practice Fax Number | 8307732981 |
| Mailing Telephone | 8307733331 |
| Mailing Fax Number | 8307732981 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | DR. FRANK H GONZALES III (OWNER) |
| Authorized Official Telephone | 8307733331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 12848606 | 05 |
| Street Address |
290 JEFFERSON ST |
| City | EAGLE PASS |
| State | TX |
| Zip Code | 78852-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164500708 | Frank H Gonzales IIi | Family Medicine | 290 Jefferson St, Eagle Pass, TX 78852-4820 | 2006-11-01 |
| 1063805935 | Manuel Hernandez | Physician Assistant | 290 Jefferson St, Eagle Pass, TX 78852-4820 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
| 1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
| 1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
| 1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
| 1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
| 1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| Find all providers in zip 78852 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265734248 | Dr Sergio Zamora, Pa | Preferred Provider Organization | 2450 El Indio Hwy, Eagle Pass, TX 78852-6615 | 2010-11-24 |
| 1033217245 | Eliezer Hernandez | Preferred Provider Organization | 1975 N Veterans Blvd, Ste 5, Eagle Pass, TX 78852-4456 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849494 | Face To Face Healthcare Services LLC | Preferred Provider Organization | 2616 S Loop W Ste 300, Houston, TX 77054-2672 | 2019-09-06 |
| 1700438827 | Cleveland Phillips Jr. | Preferred Provider Organization | 11146 Vance Jackson Rd Apt 3801, San Antonio, TX 78230-2563 | 2019-07-09 |
| 1154983492 | Cassandra Denese Mitchell | Preferred Provider Organization | 8319 Heights Vly, Converse, TX 78109-3503 | 2019-07-08 |
| 1083187223 | Chinese Community Center, Inc. | Preferred Provider Organization | 9800 Town Park Dr, Houston, TX 77036-2316 | 2019-01-10 |
| 1013422492 | Cicero L Sadler | Preferred Provider Organization | 4001 San Jacinto St, Houston, TX 77004-4021 | 2017-12-07 |
| 1528577483 | Mary Brown-jacobs | Preferred Provider Organization | 501 Canvas Ct, Crowley, TX 76036-4338 | 2017-09-22 |
| 1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
| 1649706227 | Divine Integrity Allied Healthcare Services | Preferred Provider Organization | 4738 Bedford Ave, Midland, TX 79703-4535 | 2017-05-03 |
| 1255866950 | Guardian of Angels Community Living | Preferred Provider Organization | 12703 Jones Rd, 1115, Houston, TX 77070-4676 | 2017-05-01 |
| 1356874622 | Urban Line LLC | Preferred Provider Organization | 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 | 2017-04-04 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE PASS |
| Zip Code | 78852 |
Please comment or provide details below to improve the information on MAVERICK COUNTY MEDICAL FAMILY CENTER.
| 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.