Organization Active NPI

Advanced Family Care PLLC

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1144921891
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCED FAMILY CARE PLLC
Practice address
303 Conquest Blvd
Edinburg, TX 78539-3040
Phone
(956) 720-0450
Fax
(956) 720-0451
NPI assigned
Mar 10, 2023
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Argelia Clementina DouglasNPI 1649360439
Title
Owner
Phone
(956) 720-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

303 Conquest Blvd
Edinburg, TX 78539-3040

Mailing address

303 Conquest
Edinburg, TX 78539-3040
Phone (956) 720-0450

Other identifiers 1

IdentifierTypeStateIssuer
039845505MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230413000106 TX Part B Supplier - Clinic/Group Practice 4486029063 Receives reassigned benefits from 3 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

303 Conquest
Edinburg, TX 78539
Phone (956) 457-7092

Practitioners & affiliated clinicians

Practitioners 3

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": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1144921891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CONQUEST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393040",
            "telephone_number": "956-720-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CONQUEST BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393040",
            "telephone_number": "956-720-0450",
            "fax_number": "956-720-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ARGELIA",
        "authorized_official_middle_name": "CLEMENTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-720-0450"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039845505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.