NPIMap

Organization Active NPI

Superior Family Clinic, P.a.

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1245214998
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8549 Issued in TX
Legal business name
SUPERIOR FAMILY CLINIC, P.A.
Practice address
6930 Springfield Ave
Suite 2
Laredo, TX 78041-2312
Phone
(956) 753-3901
Fax
(956) 753-3434
NPI assigned
Dec 5, 2005
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Luis Federico Villarreal, M.D.NPI 1538156401
Title
M.D.
Phone
(956) 721-4451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8549 TX Primary

Addresses

Primary practice location

6930 Springfield Ave
Suite 2
Laredo, TX 78041-2312

Mailing address

4619 San Dario Ave
#310
Laredo, TX 78041-5773
Phone (956) 753-3901

National Provider Directory

National Provider Directory

Locations

6930 Springfield Ave
#2
Laredo, TX 78041
Phone (956) 727-7100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1245214998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 SAN DARIO AVE",
            "address_2": "#310",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415773",
            "telephone_number": "956-753-3901",
            "fax_number": "956-753-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 SPRINGFIELD AVE",
            "address_2": "SUITE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412312",
            "telephone_number": "956-753-3901",
            "fax_number": "956-753-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FEDERICO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "956-721-4451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 11, 2008; 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.