Active NPI
Karina Bazan
- Multi-Specialty Clinic/Center
- Edinburg, TX
National Provider Identifier
1295482602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Practice address
- 2612 Flipper Dr
Edinburg, TX 78541-5359 - Phone
- (956) 638-5192
- NPI assigned
- Mar 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2612 Flipper Dr
Edinburg, TX 78541-5359
Mailing address
2612 Flipper Dr
Edinburg, TX 78541-5359
Phone (956) 638-5192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1295482602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 FLIPPER DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785415359",
"telephone_number": "956-638-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 FLIPPER DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785415359",
"telephone_number": "956-638-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZAN",
"first_name": "KARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-05",
"last_updated": "2022-03-05",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.