One Med Clinic LLC – Health Service Clinic/Center

Key facts

NPI: 1184401697
Entity type: Organization (NPI type 2)
Primary specialty: Health Service Clinic/Center 261QH0100X
Legal business name: ONE MED CLINIC LLC
Practice address: 1520 E San Pedro St Ste 102
Laredo, TX 78041-5479
Phone: (956) 285-4327
NPI assigned: Sep 11, 2023
Organization subpart: No

Authorized official

Name: Jose Alvarado, DNP, APRN, FNP-C NPI 1164877007
Title: Owner
Phone: (956) 285-4327

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Jose Antonio Alvarado, DNP, FNP-C Family Nurse Practitioner · Laredo, TX · NPI 1164877007

Medicare reassignment Authorized official TX

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240220004067	TX	Part B Supplier - Clinic/Group Practice	3678917473	Receives reassigned benefits from 1 practitioner Practice locations: Laredo, TX

National Provider Directory

Locations

1520 E San Pedro St
Laredo, TX 78041

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Health Service Clinic/Center	261QH0100X			Yes
Migrant Health Clinic/Center	261QM1000X

Addresses

Primary practice location

1520 E San Pedro St Ste 102
Laredo, TX 78041-5479

Mailing address

203 Sabal Loop
Laredo, TX 78045-5015
Phone (956) 285-4327

Other providers in Laredo, TX

All providers in Laredo, TX · Health Service Clinic/Center in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.