McAllen Primary Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C4798 Issued in TX

Legal business name

MCALLEN PRIMARY CARE CLINIC

Practice address

110 E Savannah Ave BLDG A204
McAllen, TX 78503-1239

Phone

(956) 686-4040

Fax

(956) 686-2936

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Desaussure Trevino, RN

Title

Administrator

Phone

(956) 686-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1184817736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG A204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031239",
            "telephone_number": "956-686-4040",
            "fax_number": "956-686-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG A204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031239",
            "telephone_number": "956-686-4040",
            "fax_number": "956-686-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALLEN PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "DESAUSSURE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-686-4040",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "C4798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149158101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McAllen Pathology Associates
• McAllen Pediatric Clinic (Juan Aguilera and Associates)
• McAllen Pediatric Clinic, P.a.
• McAllen Pharmacy LLC
• McAllen Preventive Care Institute
• McAllen Primary Care Clinic PLLC
• McAllen Psychological Center
• McAllen Regional Imaging LLC
• McAllen South Open MRI LP
• McAllen Surgical Specialty Center LTD

• Family Medicine Physician in McAllen, TX
• Providers in McAllen, 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 Feb 4, 2010; 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.