Texas Healthcare Providers PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TEXAS HEALTHCARE PROVIDERS PLLC

Practice address

6602 Polaris Dr
Laredo, TX 78041-2082

Phone

(956) 791-1414

NPI assigned

Mar 22, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priscilla G Wong, FNP-CNPI 1588210660

Title

Nurse Practitioner

Phone

(956) 786-0722

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Practitioners 5

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.

• Priscilla G Wong, NP

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1588210660
  Medicare reassignment Care Compare group NPD Authorized official
• Tara Denise Gutierrez, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1407335607
  Medicare reassignment Care Compare group NPD
• Jazmin Ann Torres, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1538940903
  Medicare reassignment NPD
• Eduardo Carlos Canova, MD

  • Internal Medicine Physician
  • Zapata, TX
  • NPI 1376854968
  NPD (past)
• Victor Michael Ramos, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1720587595
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1285383786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 POLARIS DR # 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412082",
            "telephone_number": "956-791-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 POLARIS DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412082",
            "telephone_number": "956-791-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTHCARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-786-0722",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baptistprimarycare@outlook.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6602 Polaris Dr",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780412082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Texas Lone Star Physician Services, PLLC
• Texas Medic Transportation LLC
• Texas Provider Care, LLC
• Texas Superior Ambulance Service LLC

• Family Nurse Practitioner in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.