NPIMap

Organization Active NPI

Tri County Family Medical Care Group LLC

  • Family Medicine Physician
  • Mexia, TX
National Provider Identifier
1174926554
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI COUNTY FAMILY MEDICAL CARE GROUP LLC
Practice address
311 E Milam St
Mexia, TX 76667-2359
Phone
(830) 393-3133
Fax
(210) 333-0775
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Brian Johnson, NPNPI 1205875309
Title
Owner
Phone
(830) 393-3133

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

311 E Milam St
Mexia, TX 76667-2359

Mailing address

PO Box 47154
San Antonio, TX 78265-7154
Phone (830) 393-3133

National Provider Directory

National Provider Directory

Locations

311 E Milam St
Mexia, TX 76667
Phone (210) 202-1444

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1174926554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47154",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782657154",
            "telephone_number": "830-393-3133",
            "fax_number": "210-333-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MILAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672359",
            "telephone_number": "830-393-3133",
            "fax_number": "210-333-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY FAMILY MEDICAL CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-393-3133",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.