Active NPI
Uvalde Family Practice Association
- Family Medicine Physician
- Uvalde, TX
National Provider Identifier
1063526945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P6748
- Legal business name
- UVALDE FAMILY PRACTICE ASSOCIATION
- Practice address
- 1800 Garner Field Rd
Uvalde, TX 78801-6210 - Phone
- (830) 278-4453
- Fax
- (830) 278-3427
- NPI assigned
- Aug 18, 2006
- Last updated
- Jun 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence P. Wegrzyn, MD
- Title
- MD/Owner
- Phone
- (830) 278-4453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P6748 | TX | Primary |
Addresses
Primary practice location
1800 Garner Field Rd
Uvalde, TX 78801-6210
Mailing address
1800 Garner Field Rd
Uvalde, TX 78801-6210
Phone (830) 278-4453
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063389301 | Medicaid | TX | |
| 083850001 | Medicaid | TX | |
| 017801401 | Medicaid | TX | |
| 00L82S | Other | TX | GROUP BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2024 | Change of Ownership | Uvalde Family Practice Association |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Uvalde Family Practice Association
- Rural Health Clinic/Center
- Uvalde, TX
- NPI 1689490211
Sold to, 2024-10-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498521600000",
"number": "1063526945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 GARNER FIELD RD",
"city": "UVALDE",
"state": "TX",
"postal_code": "788016210",
"telephone_number": "830-278-4453",
"fax_number": "830-278-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 GARNER FIELD RD",
"city": "UVALDE",
"state": "TX",
"postal_code": "788016210",
"telephone_number": "830-278-4453",
"fax_number": "830-278-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UVALDE FAMILY PRACTICE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2017-06-27",
"status": "A",
"authorized_official_last_name": "WEGRZYN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "830-278-4453",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P6748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063389301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083850001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017801401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS",
"identifier": "00L82S",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uvalde, TX
- Uvalde County Hospital Authority (Sage Family Medicine Associates)
- Uvalde Dental Associates, PLLC
- Uvalde Diagnostic Clinic
- Uvalde Emergency Medical Services, Inc.
- Uvalde Family Practice Assoc.
- Uvalde Healthcare Clinics
- Uvalde Home Health and Hospice
- Uvalde Medical and Surgical Associates
- Uvalde Medical and Surgical Associates
- Uvalde Optometrists PC (Galo Eyecare Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.