Organization Active NPI

Clinicas Sin Fronteras Inc

  • Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1033800339
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CLINICAS SIN FRONTERAS INC
Practice address
383 Huffines PLZ Ste 275-C
Lewisville, TX 75057-4674
Phone
(972) 219-2100
Fax
(972) 219-2101
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gonzalo Mata
Title
Owner
Phone
(214) 926-0298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

383 Huffines PLZ Ste 275-C
Lewisville, TX 75057-4674

Mailing address

2312 Conroe CT
Flower Mound, TX 75028-2376
Phone (972) 219-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814000190 TX Part B Supplier - Clinic/Group Practice 0547620486 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2279882Clinicas Sin Fronteras383 Huffines Plaza Suite 275-C, Lewisville, TX 75057Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

383 Huffines Plz
Ste 275C
Lewisville, TX 75057
Phone (972) 219-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1033800339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 CONROE CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282376",
            "telephone_number": "972-219-2100",
            "fax_number": "972-219-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 HUFFINES PLZ STE 275-C",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750574674",
            "telephone_number": "972-219-2100",
            "fax_number": "972-219-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAS SIN FRONTERAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-926-0298"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.