Medicus Domus, LLC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

F6390 Issued in TX

Legal business name

MEDICUS DOMUS, LLC

Practice address

3302 Boca Chica Blvd
Brownsville, TX 78521-4202

Phone

(956) 203-5568

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. C. Lynn Anderson, M.D.

Title

Owner

Phone

(956) 546-1000

Specialties & licenses 1

Addresses

Other names 1

• Physician House Calls Doing business as

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1174891832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214202",
            "telephone_number": "956-203-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214202",
            "telephone_number": "956-203-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS DOMUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-546-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "F6390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician House Calls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Leslie Medina
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• Family Health Clinical Nurse Specialist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Family Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.