Organization Active NPI

Family Care Specialists

  • Family Medicine Physician
  • Port Isabel, TX
National Provider Identifier
1285879767
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9582 Issued in TX
Legal business name
FAMILY CARE SPECIALISTS
Practice address
1710 State Highway 100 Ste S
Port Isabel, TX 78578-2803
Phone
(956) 495-8658
Fax
(956) 548-1198
NPI assigned
Dec 11, 2008
Organization subpart
Yes
Parent organization
FAMILY CARE SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Carlos Villarreal
Title
Office Manager
Phone
(956) 466-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X J9582 TX Primary

Addresses

Primary practice location

1710 State Highway 100 Ste S
Port Isabel, TX 78578-2803

Mailing address

1710 State Highway 100 Ste S
Port Isabel, TX 78578-2803
Phone (956) 495-8658

National Provider Directory

National Provider Directory
Part of
Family Care Specialists LLC

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1285879767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 STATE HIGHWAY 100 STE S",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782803",
            "telephone_number": "956-495-8658",
            "fax_number": "956-548-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 STATE HIGHWAY 100 STE S",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782803",
            "telephone_number": "956-495-8658",
            "fax_number": "956-548-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE SPECIALISTS",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-466-7221"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

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