NPIMap

Organization Active NPI

Raymond P Mussett MD PLLC

Doing business as Roma Medical Clinic

  • Family Medicine Physician
  • Roma, TX
National Provider Identifier
1093822140
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAYMOND P MUSSETT MD PLLC
Doing business as
Roma Medical Clinic
Practice address
640 E Bravo Blvd
Roma, TX 78584
Phone
(956) 849-2176
Fax
(956) 849-3439
NPI assigned
Aug 24, 2006
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Raymond P Mussett, MD
Title
President/Owner
Phone
(956) 849-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TX Primary

Addresses

Primary practice location

640 E Bravo Blvd
Roma, TX 78584

Mailing address

PO Box 1120
Roma, TX 78584
Phone (956) 849-2176

Other identifiers 4

IdentifierTypeStateIssuer
00734HFOtherTXBCBS
135201506MedicaidTX
827083763OtherTXPALMETTO MEDICARE
063426301MedicaidTX

Other names 1

  • Roma Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1093822140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-849-2176",
            "fax_number": "956-849-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E BRAVO BLVD",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-849-2176",
            "fax_number": "956-849-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND P MUSSETT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MUSSETT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "956-849-2176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00734HF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135201506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE",
            "identifier": "827083763",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063426301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roma Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.