Organization Active NPI

Laredo Family Nite Clinic P.a.

  • General Practice Physician
  • Laredo, TX
National Provider Identifier
1184924060
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E6206 Issued in TX
Legal business name
LAREDO FAMILY NITE CLINIC P.A.
Practice address
7210 McPherson Rd
Ste 220
Laredo, TX 78041-6505
Phone
(956) 729-9766
Fax
(956) 729-8131
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Jesus I Aguirre-Burgos, M.D.
Title
President
Phone
(956) 729-9766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X E6206 TX Primary

Addresses

Primary practice location

7210 McPherson Rd
Ste 220
Laredo, TX 78041-6505

Mailing address

7210 McPherson
Ste 220
Laredo, TX 78041-6505
Phone (956) 729-9766

Other names 1

  • Laredo Family Nite Clinic P.A. Doing business as

National Provider Directory

National Provider Directory

Locations

2412 Jacaman Rd
Ste 150
Laredo, TX 78041
Phone (956) 729-9766

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1184924060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON",
            "address_2": "STE 220",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-729-9766",
            "fax_number": "956-729-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD",
            "address_2": "STE 220",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-729-9766",
            "fax_number": "956-729-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO FAMILY NITE CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE-BURGOS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-729-9766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laredo Family Nite Clinic P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.