Organization Active NPI

Medico Healthcare, PLLC

  • Family Medicine Physician
  • Horizon City, TX
National Provider Identifier
1104529320
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICO HEALTHCARE, PLLC
Practice address
13650 Eastlake Blvd Ste a-104
Horizon City, TX 79928-7473
Phone
(915) 314-9200
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Authorized official

Name
Dr. Juan Carlos Israel Hernandez Garcia, MD
Title
Physician/Owner
Phone
(915) 260-8013

Specialties & licenses 1

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

Addresses

Primary practice location

13650 Eastlake Blvd Ste a-104
Horizon City, TX 79928-7473

Mailing address

13650 Eastlake Blvd Ste a-104
Horizon City, TX 79928-7473
Phone (915) 260-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230526000953 TX Part B Supplier - Clinic/Group Practice 0143687640 Receives reassigned benefits from 1 practitioner
Practice locations: Horizon City, TX

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
45D2321208Medico Healthcare13650 Eastlake Blvd. Ste 104, Horizon City, TX 79928Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

13650 Eastlake Blvd
Ste A104
Horizon City, TX 79928
Phone (915) 260-8013

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780790400000",
    "number": "1104529320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 EASTLAKE BLVD STE A-104",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287473",
            "telephone_number": "915-260-8013",
            "fax_number": "915-213-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 EASTLAKE BLVD STE A-104",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287473",
            "telephone_number": "915-314-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ GARCIA",
        "authorized_official_first_name": "JUAN CARLOS ISRAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "915-260-8013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.