Family Tree Health Clinic P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MDTXJ9936 Issued in TX

Legal business name

FAMILY TREE HEALTH CLINIC P A

Practice address

2911 S Shore Blvd
Suite 190
League City, TX 77573-3922

Phone

(281) 538-8188

Fax

(281) 538-8189

NPI assigned

Nov 13, 2006

Organization subpart

No

Name

Dr. Alvaro Francisco Zamora, MDNPI 1285736900

Title

Physician

Phone

(281) 538-8188

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

• Alvaro Francisco Zamora, MD

  • Family Medicine Physician
  • League City, TX
  • NPI 1285736900

  Family Medicine, TX

  Medicare reassignment NPD Authorized official
• Krislyn Boswell

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1255899399

  TX

  Medicare reassignment NPD
• Jisha Mathew, APRN

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1205478724

  TX

  Medicare reassignment NPD
• Arlene Garcia-Chau, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1710532650

  TX

  Medicare reassignment
• Carla D Hirsch, PA-C

  • Medical Physician Assistant
  • Pasadena, TX
  • NPI 1588978894

  TX

  Medicare reassignment
• Katrina Marie Jackson, PA-C

  • Physician Assistant
  • League City, TX
  • NPI 1073735445

  TX

  Medicare reassignment
• Angela Murlene Orozco, FNP

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1225866973

  Single Specialty

  NPD
• Andrea Michelle Saha, NP

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1700494788
  NPD
• Lauren Werner

  • Nurse Practitioner
  • Houston, TX
  • NPI 1891303129
  NPD
• Nedal Adi, M.D.

  • Family Medicine Physician
  • Webster, TX
  • NPI 1093102477

  Family Medicine

  NPD (past)
• Gabrielle Bennett, NP

  • Adult Health Nurse Practitioner
  • League City, TX
  • NPI 1114832110
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2014.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1205907987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 S SHORE BLVD",
            "address_2": "SUITE 190",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733922",
            "telephone_number": "281-538-8188",
            "fax_number": "281-538-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 S SHORE BLVD",
            "address_2": "SUITE 190",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733922",
            "telephone_number": "281-538-8188",
            "fax_number": "281-538-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE HEALTH CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-538-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "MDTXJ9936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0042LW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177836701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol-Lynn Hendrych Faciane, RNFA
• Faith and Marie LLC
• Faith and Marie LLC
• Faith Bridge Home Care
• Family First Transport LLC
• Renah Farhan, MD
• Donna Fasullo, LCSW
• Fatta Drive Pharmacy LLC
• Fatta Drive Pharmacy LLC
• Melanie Featherly, LCDC

• All providers in League City, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.