Family Clinic - Clinica Familiar, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD29040 Issued in TN

Legal business name

FAMILY CLINIC - CLINICA FAMILIAR, LLC

Practice address

3860 New Covington Pike
Suite 101
Memphis, TN 38128-2506

Phone

(901) 377-6805

Fax

(901) 377-6806

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jose Laraya, M.D.

Title

Owner-Member

Phone

(901) 218-5328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1215292552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 NEW COVINGTON PIKE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282506",
            "telephone_number": "901-377-6805",
            "fax_number": "901-377-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 NEW COVINGTON PIKE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282506",
            "telephone_number": "901-377-6805",
            "fax_number": "901-377-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC - CLINICA FAMILIAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "LARAYA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "901-218-5328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD29040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.