Active NPI
Roselio Perez Garcia, FNP
- Family Nurse Practitioner
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11180340
- Practice address
- 2110 N Galloway Ave Ste 108
Mesquite, TX 75150-5779 - Phone
- (972) 634-4871
- Fax
- (972) 584-9607
- NPI assigned
- Nov 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142189 | TX | |
| Family Nurse Practitioner | 363LF0000X | F11180340 | FL | Primary |
Addresses
Primary practice location
2110 N Galloway Ave Ste 108
Mesquite, TX 75150-5779
Mailing address
2110 N Galloway Ave Ste 108
Mesquite, TX 75150-5779
Phone (305) 539-8084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11180340 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Healthcare Clinic LLC | Multi-Specialty | Current | Accepting new patients |
| Clinica de la Familia Hispana Ebenezer LLC | Multi-Specialty | Current | Accepting new patients |
| Clinica Hispana Lancaster LLC | Multi-Specialty | Current | Accepting new patients |
| Odette Louise Campbell MD PA | Multi-Specialty | Current | Accepting new patients |
| Happy Bridge Primary Care & Home Health PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
522 Bedford Rd
Bedford, TX 76022
Phone (682) 738-3358
3250 W Pleasant Run Rd
Ste 160
Lancaster, TX 75146
Phone (469) 747-3005
860 Hebron Pkwy
Ste 704
Lewisville, TX 75057
Phone (214) 777-2703
5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJEDCD/Endpoint/BJEDCD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Mesquite, TX
- NPI 1871287094
-
- Family Nurse Practitioner
- Bedford, TX
- NPI 1003660895
Multi-Specialty
-
- Primary Care Nurse Practitioner
- Lewisville, TX
- NPI 1225707342
Multi-Specialty
-
- Family Nurse Practitioner
- Lewisville, TX
- NPI 1699448209
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1043780513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 N GALLOWAY AVE STE 108",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505779",
"telephone_number": "305-539-8084",
"fax_number": "469-206-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 N GALLOWAY AVE STE 108",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505779",
"telephone_number": "972-634-4871",
"fax_number": "972-584-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GARCIA",
"first_name": "ROSELIO",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-27",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142189",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F11180340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.