The Clinic at the Port

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

THE CLINIC AT THE PORT

Practice address

3150 N. Indiana Ave
Brownsville, TX 78526

Phone

(956) 831-3400

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lahoma Mae Pederson

Title

Owner

Phone

(956) 551-6742

Specialties & licenses 1

Addresses

Other names 1

• ALL VALLEY DRUG SCREENS Other name

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1205101417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1822",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "78566",
            "telephone_number": "956-831-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N. INDIANA AVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-831-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC AT THE PORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "LAHOMA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-551-6742",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL VALLEY DRUG SCREENS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emergency Care Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.