Organization Active NPI

Uvalde Family Practice Association

  • Family Medicine Physician
  • Uvalde, TX
National Provider Identifier
1063526945
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P6748 Issued in TX
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
063389301MedicaidTX
083850001MedicaidTX
017801401MedicaidTX
00L82SOtherTXGROUP BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2024 Change of OwnershipThis provider was the seller Uvalde Family Practice AssociationCCN 453835, TX, NPI 1689490211

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Sources for this page

Verify at the official NPI Registry.