Organization Active NPI

Reliable Family Wellness, P.L.L.C.

  • Family Nurse Practitioner
  • Orange, TX
National Provider Identifier
1295105591
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128352 Issued in TX
Legal business name
RELIABLE FAMILY WELLNESS, P.L.L.C.
Practice address
3838 W Park Ave
Orange, TX 77630-1812
Phone
(409) 882-4705
Fax
(409) 886-5305
NPI assigned
Sep 29, 2015
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Lou Randall Locke, II, FNP
Title
Nurse Practitioner
Phone
(409) 882-4705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP128352 TX Primary

Addresses

Primary practice location

3838 W Park Ave
Orange, TX 77630-1812

Mailing address

3838 W Park Ave
Orange, TX 77630-1812
Phone (409) 882-4705

National Provider Directory

National Provider Directory

Locations

3838 W Park Ave
Orange, TX 77630
Phone (409) 882-4705

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1295105591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W PARK AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301812",
            "telephone_number": "409-882-4705",
            "fax_number": "409-886-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W PARK AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301812",
            "telephone_number": "409-882-4705",
            "fax_number": "409-886-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE FAMILY WELLNESS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "LOCKE, II",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "409-882-4705",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.