Organization Active NPI

Clinica Familiar Hispana

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1144561093
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6641 Issued in TX
Legal business name
CLINICA FAMILIAR HISPANA
Practice address
17550 W Little York Rd
Suite 10
Houston, TX 77084-6321
Phone
(281) 861-5565
Fax
(281) 861-4225
NPI assigned
Mar 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Stanton Clark Packard
Title
Docotor
Phone
(281) 861-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J6641 TX Primary

Addresses

Primary practice location

17550 W Little York Rd
Suite 10
Houston, TX 77084-6321

Mailing address

17550 W Little York Rd
Suite 10
Houston, TX 77084-6321
Phone (281) 861-5565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1144561093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17550 W LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846321",
            "telephone_number": "281-861-5565",
            "fax_number": "281-861-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 W LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846321",
            "telephone_number": "281-861-5565",
            "fax_number": "281-861-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR HISPANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "DOCOTOR",
        "authorized_official_telephone_number": "281-861-5565",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.