LA FAMILIA HEALTH CLINIC PLLC (NPI# 1962063917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962063917 |
| Entity Type | Organization |
| Organization Name | LA FAMILIA HEALTH CLINIC PLLC |
| Other Organization Name | LA FAMILIA HEALTH CLINIC |
| Practice Address |
1105 Corpus Christi St Laredo TX 78040-5258 |
| Practice Telephone | 9566351170 |
| Mailing Telephone | 9566351170 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | ROSA A RENDON (NURSE PRACTITIONER/ADMINISTRATOR) |
| Authorized Official Telephone | 9566351170 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| La Familia Health Clinic | Former Legal Business Name - Organization |
| Street Address |
1105 CORPUS CHRISTI ST |
| City | LAREDO |
| State | TX |
| Zip Code | 78040-5258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841452331 | Laredo Family Foot Center, D.p.m., P.a. | Podiatrist | 1105 Corpus Christi St, Laredo, TX 78040-5258 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335755 | Viviana Rodriguez | Specialist/Technologist | 1020 Corpus Christi St., Laredo, TX 78040 | 2018-08-08 |
| 1518451749 | United Med Care Ambulance | Ambulance | 1110 Davis Ave, Laredo, TX 78040 | 2018-06-20 |
| 1962910117 | Tomas Cantu | Home Health | 1502 Hidalgo St, Laredo, TX 78040 | 2018-01-22 |
| 1457860447 | Francisco J Martinez | Massage Therapist | 3116 San Bernardo Ave #a, Laredo, TX 78040 | 2017-09-22 |
| 1760810634 | Melissa Garcia | Nurse Practitioner | 1220 San Agustin Ave, Laredo, TX 78040 | 2013-10-31 |
| 1093956831 | Black Casino LLC | Clinic/Center | 302 Washington St Suite B, Laredo, TX 78040 | 2009-03-06 |
| 1851504252 | La Luz Adult Day Care L.L.C. | Nursing Facility/Intermediate Care Facility | 2349 E Saunders, Laredo, TX 78040 | 2007-05-08 |
| 1346373602 | Lorena Elizabeth Tidwell | Specialist/Technologist | West End Washinton, Laredo Community College - Athletic Department, Laredo, TX 78040 | 2007-03-14 |
| 1578609319 | Iliana Medina Chandarlis | Physical Therapist | 1501 Chihuahua Drive Suite #2, Laredo, TX 78040 | 2007-01-29 |
| 1972669919 | Sunny Wong | Internal Medicine | Mcpherson Medical Center, 6801 Mcpherson Road Suite 337, Laredo, TX 78040 | 2006-12-27 |
| Find all providers in zip 78040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222051 | Melissa Gonzalez | Nurse Practitioner | 1903 Whitewood Dr, Laredo, TX 78045-8394 | 2020-10-13 |
| 1396358636 | Valeria Solis | Nurse Practitioner | 2325 E Saunders St # 2, Laredo, TX 78041-5434 | 2020-08-26 |
| 1821615550 | Kimberly Renee Gutierrez-herrera | Nurse Practitioner | 7913 Mcpherson Rd Ste 110, Laredo, TX 78045-2807 | 2020-06-29 |
| 1043844970 | Oscar Villarreal | Nurse Practitioner | 1019 Boston St, Laredo, TX 78041-4307 | 2020-02-29 |
| 1326684101 | Jesus Ramirez Sr. | Nurse Practitioner | 716 Pellegrino Ct Ste 2, Laredo, TX 78045-8283 | 2019-11-26 |
| 1477100857 | Lacie Ann Goodman | Nurse Practitioner | 7521 Country Club Dr Apt 304, Laredo, TX 78041-3396 | 2019-08-21 |
| 1588210660 | Priscilla G Wong | Nurse Practitioner | 220 W Hillside Rd Ste 4a, Laredo, TX 78041-6903 | 2019-08-14 |
| 1194293159 | Diana Sujey Flores | Nurse Practitioner | 1121 Harlan St, Laredo, TX 78045-6698 | 2018-11-07 |
| 1376025874 | Mario Romeo Salinas Jr. | Nurse Practitioner | 1405 Jacaman Rd Ste 104, Laredo, TX 78041-6225 | 2018-08-30 |
| 1336635994 | Mary Lombrana | Nurse Practitioner | 2438 Monarch Dr, Laredo, TX 78045-6598 | 2018-07-06 |
| Find all providers in LAREDO | ||||
Please comment or provide details below to improve the information on LA FAMILIA HEALTH CLINIC PLLC.
| 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.