Organization Active NPI

Clinica HF Jupiter LLC

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1164280244
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA HF JUPITER LLC
Practice address
3516 W Walnut St
Garland, TX 75042-6234
Phone
(469) 304-0074
NPI assigned
Mar 12, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Marsel Yousef
Title
Owner
Phone
(346) 213-0377

Specialties & licenses 1

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

Addresses

Primary practice location

3516 W Walnut St
Garland, TX 75042-6234

Mailing address

3516 W Walnut St
Garland, TX 75042-6234
Phone (469) 304-0074

National Provider Directory

National Provider Directory

Locations

3516 W Walnut St
Garland, TX 75042
Phone (469) 304-0074

Practitioners & affiliated clinicians

Practitioners 1

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": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1164280244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426234",
            "telephone_number": "469-304-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426234",
            "telephone_number": "469-304-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HF JUPITER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "MARSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-213-0377"
    },
    "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 Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.