First Fruits Medical Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FIRST FRUITS MEDICAL CLINIC PLLC

Practice address

1211 E Houston St
Beeville, TX 78102-5207

Phone

(361) 358-8982

Fax

(361) 358-2176

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Christian N Okpalo, MDNPI 1649354515

Title

President

Phone

(361) 358-8982

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Christian N Okpalo, MD

  • Internal Medicine Physician
  • Beeville, TX
  • NPI 1649354515

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official
• Victor Lara

  • Family Nurse Practitioner
  • Beeville, TX
  • NPI 1306215918

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1104900067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025207",
            "telephone_number": "361-358-8982",
            "fax_number": "361-358-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025207",
            "telephone_number": "361-358-8982",
            "fax_number": "361-358-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FRUITS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "OKPALO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-358-8982",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia A. Estrada
• Exclusive Home Health and Hospice Inc
• Family Practice & Specialty Associates - Hospital
• Family Practice and Specialty Associates of Beeville PLLC
• Miranda L Fawcett, PTA
• Lisa Fischer, RPH
• Eloisa F. Flores, FNP
• Mercedita Flynn, FNP
• Christina Foster, NP
• Francisco J. Calica MD PA

• All providers in Beeville, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.