Organization Active NPI

Tejano Medical Clinic PLLC

Doing business as Tejano Medical Clinic

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1336964204
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TEJANO MEDICAL CLINIC PLLC
Doing business as
Tejano Medical Clinic
Practice address
5608 Pinemont Dr Ste a
Houston, TX 77092-2622
Phone
(832) 317-5351
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Francisco J Ayala, DNPNPI 1013569680
Title
Sole Member
Phone
(832) 317-5351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5608 Pinemont Dr Ste a
Houston, TX 77092-2622

Mailing address

6903 Du Boise Rd
Houston, TX 77091-1607
Phone (832) 317-5351

Other names 1

  • Tejano Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241127001696 TX Part B Supplier - Clinic/Group Practice 2860927811 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2314980Tejano Medical Clinic5608 Pinemont Drive Ste a, Houston, TX 77092Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

5608 Pinemont Dr
#A
Houston, TX 77092
Phone (713) 446-5948

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1336964204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 DU BOISE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770911607",
            "telephone_number": "832-317-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 PINEMONT DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922622",
            "telephone_number": "832-317-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJANO MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "832-317-5351",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tejano Medical 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 Nov 18, 2024; 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.