Falfurrias Family Clinic, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

N7368 Issued in TX

Legal business name

FALFURRIAS FAMILY CLINIC, PLLC

Practice address

1204 S Saint Marys St
Falfurrias, TX 78355-5033

Phone

(361) 323-2110

Fax

(361) 323-2118

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Mario Luis Vasquez AguilarNPI 1275846156

Title

Sole Member

Phone

(917) 733-2815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13883/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Mario Luis Vasquez Aguilar

  • Family Medicine Physician
  • Rio Grande City, TX
  • NPI 1275846156
  Medicare reassignment Care Compare group NPD Authorized official
• Koleen Mae Kieffer, FNP-C

  • Family Nurse Practitioner
  • Falfurrias, TX
  • NPI 1326552720
  Medicare reassignment Care Compare group NPD
• Gabino Vicente Leal

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1013563790
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1215384607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 S SAINT MARYS ST",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783555033",
            "telephone_number": "361-323-2110",
            "fax_number": "361-323-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 S SAINT MARYS ST",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783555033",
            "telephone_number": "361-323-2110",
            "fax_number": "361-323-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALFURRIAS FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ AGUILAR",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "917-733-2815"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "N7368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soledad Coleman, FNP-BC
• Community Action Corporation of South Texas
• Robert Mark Davis Jr.
• Baldemar De Luna
• Karlene Dillon, COTA/L
• Falfurrias Medical Group LLP
• Falfurrias Memorial Medical Clinic LLC (Hands of Grace Medical Clinic)
• Falfurrias Nursing and Rehabilitation LP
• Freedom RX LLC (Falfurrias Family Pharmacy)
• Freedom RX LLC (Falfurrias Family Pharmacy)

• Clinic/Center in Falfurrias, TX
• Providers in Falfurrias, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.