South Texas Community Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH TEXAS COMMUNITY MEDICAL, LLC

Practice address

102 S Bryan Rd
Mission, TX 78572-6218

Phone

(956) 424-6784

NPI assigned

May 23, 2011

Organization subpart

No

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

Authorized official

Name

Roberto Castillo

Title

Owner

Phone

(956) 424-6784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1174816201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726218",
            "telephone_number": "956-424-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726218",
            "telephone_number": "956-424-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS COMMUNITY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-424-6784"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoila Estrella Solis
• Robert Daniel Soliz, FNP-C
• Brianna Lee Sooy, OD
• Leticia Ivonne Sosa
• South Texas Clinic for Pain Management
• South Texas Personal Care Service Inc.
• South Texas Physician Partners PLLC
• South Texas Sleep Diagnostic Clinic
• South Texas Vascular and Heart Institute PA
• Ofilia Irene Soza, PHARMD

• Family Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.