Organization Active NPI

Rafael G Borges, M.D.

Doing business as Family Medicine Clinic

  • Health Maintenance Organization
  • Houston, TX
National Provider Identifier
1306146873
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
K9230 Issued in TX
Legal business name
RAFAEL G BORGES, M.D.
Doing business as
Family Medicine Clinic
Practice address
17203 Red Oak Dr
Suite 201
Houston, TX 77090-2640
Phone
(281) 880-9710
Fax
(281) 880-9711
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Jeannette Rubalcaba
Title
Office Manager
Phone
(281) 880-9710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X K9230 TX Primary

Addresses

Primary practice location

17203 Red Oak Dr
Suite 201
Houston, TX 77090-2640

Mailing address

17203 Red Oak Dr
Suite 201
Houston, TX 77090-2640
Phone (281) 880-9710

Other identifiers 1

IdentifierTypeStateIssuer
8AJ811OtherTXB/C B/S OF TEXAS

Other names 1

  • FAMILY MEDICINE CLINIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1306146873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902640",
            "telephone_number": "281-880-9710",
            "fax_number": "281-880-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902640",
            "telephone_number": "281-880-9710",
            "fax_number": "281-880-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL G BORGES, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "RUBALCABA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-880-9710"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "K9230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S OF TEXAS",
            "identifier": "8AJ811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICINE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.