Organization Active NPI

Carlos. N. Hornedo III, D.O. PA

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1164544805
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3242 Issued in TX
Legal business name
CARLOS. N. HORNEDO III, D.O. PA
Practice address
1203 Welby Court Ste 1
Laredo, TX 78041
Phone
(956) 794-8840
Fax
(956) 794-8844
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Raquel Marquez
Title
Office Manager
Phone
(956) 794-8840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K3242 TX Primary
Clinic/Center 261Q00000X K3242 TX

Addresses

Primary practice location

1203 Welby Court Ste 1
Laredo, TX 78041

Mailing address

1203 Welby Court Ste 1
Laredo, TX 78041
Phone (956) 794-8840

Other identifiers 2

IdentifierTypeStateIssuer
150778201MedicaidTX
150778202MedicaidTX

National Provider Directory

National Provider Directory

Locations

1203 Welby Ct
Ste 1
Laredo, TX 78041
Phone (956) 794-8840

1203 Welby Ct
Ste I
Laredo, TX 78041
Phone (956) 794-8840

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1164544805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WELBY COURT STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-794-8840",
            "fax_number": "956-794-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WELBY COURT STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-794-8840",
            "fax_number": "956-794-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS. N. HORNEDO III, D.O. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-794-8840"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3242",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K3242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150778201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150778202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.