Organization Active NPI

Fe Family Clinic, LLC

  • Family Medicine Physician
  • Mission, TX
National Provider Identifier
1043233273
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FE FAMILY CLINIC, LLC
Practice address
8305 N. la Homa Blvd.
Suite # B
Mission, TX 78574
Phone
(956) 581-0401
Fax
(956) 581-0654
NPI assigned
Jul 26, 2006
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mr. Joseph Unuigboje Eromosele, P. A.,NPI 1104855493
Title
Physician Assistant
Phone
(956) 581-0401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8305 N. la Homa Blvd.
Suite # B
Mission, TX 78574

Mailing address

PO Box 3360
Mission, TX 78573-0057
Phone (956) 581-0401

Other identifiers 2

IdentifierTypeStateIssuer
186061102MedicaidTX
186061101MedicaidTX

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
45D1083412Fe Family Clinic LLC8305 N la Homa Blvd, Suite B, Mission, TX 78574ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

8305 N La Homa Rd
Ste B
Mission, TX 78574
Phone (956) 581-0401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1043233273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730057",
            "telephone_number": "956-581-0401",
            "fax_number": "956-581-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 N. LA HOMA BLVD.",
            "address_2": "SUITE # B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-581-0401",
            "fax_number": "956-581-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "EROMOSELE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "UNUIGBOJE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "956-581-0401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P. A.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186061102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186061101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.