MARIO PEREZ DO PA (NPI# 1801825740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801825740 |
Entity Type | Organization |
Organization Name | MARIO PEREZ DO PA |
Other Organization Name | POTEET FAMILY HEALTH CENTER |
Practice Address |
8555 N State Highway 16 Poteet TX 78065-4034 |
Practice Telephone | 8307423637 |
Practice Fax Number | 8307423534 |
Mailing Telephone | 8307423637 |
Mailing Fax Number | 8307423534 |
Enumeration Date | 2006-07-02 |
Last Update Date | 2010-06-21 |
Authorized Official Name | DR. MARIO PEREZ (PHYSICIAN OWNER) |
Authorized Official Telephone | 8307423637 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | K4526 | TX | Allopathic & Osteopathic Physicians |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 171626801 | 05 | |
TX | 092352601 | 05 | |
TX | 092352602 | 05 |
Other Name | Type Code |
---|---|
Poteet Family Health Center | Doing Business As Name - Organization |
Street Address |
8555 N STATE HIGHWAY 16 |
City | POTEET |
State | TX |
Zip Code | 78065-4034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508390360 | Atascosa Health Center, Inc. | Clinic/Center | 8555 N State Highway 16, Poteet, TX 78065-4034 | 2017-04-18 |
1649551516 | Timberland Medical Group | Family Medicine | 8555 N State Highway 16, Poteet, TX 78065-4034 | 2011-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194351825 | Emiliano Jose Escalante | Licensed Vocational Nurse | 9745 N Hwy 16, Poteet, TX 78065 | 2020-03-13 |
1922631878 | Gloria Elizabeth Calderas | Licensed Vocational Nurse | 691 Avenue I, Poteet, TX 78065 | 2020-02-19 |
1053871442 | Lauren Liliuokalani Kerry | Licensed Vocational Nurse | 350 Oak Creek Eststes, Poteet, TX 78065 | 2019-03-21 |
1467933283 | Elizabeth Robles Pena | Licensed Vocational Nurse | 280 Eaglerock, Poteet, TX 78065 | 2018-08-29 |
1821514068 | Julia Young | Specialist/Technologist | 415 Applewhite Road, Poteet, TX 78065 | 2017-08-18 |
1194069443 | Leigh Ann Jones | Military Health Care Provider | 46 Grey Stone, Poteet, TX 78065 | 2012-11-26 |
1285644138 | Oak Creek Personal Care Home | Assisted Living Facility | 299 Oak Creek Estates, Poteet, TX 78065 | 2006-08-09 |
1013450378 | Southern Smiles Poteet | Dentist | 821 School Dr, Poteet, TX 78065 | 2016-11-18 |
1366921645 | Dayna Nicole Poorboy | Licensed Vocational Nurse | 330 Majestic Oaks Dr, Poteet, TX 78065-3513 | 2018-08-08 |
1972814317 | Lighthouse Home Care, Inc. | Nursing Care | 156 Inwood, Poteet, TX 78065-3814 | 2010-06-30 |
Find all providers in zip 78065 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
Find all providers with the same taxonomy |
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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.