Organization Active NPI

St Therese Family Clinic PLLC

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1396170080
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ST THERESE FAMILY CLINIC PLLC
Practice address
4800 S 23Rd St
Suite 7
McAllen, TX 78503-8692
Phone
(956) 627-5320
Fax
(956) 627-5323
NPI assigned
Sep 12, 2013
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Teresa Mireles, NPNPI 1326039819
Title
Owner/NP
Phone
(956) 627-5320

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
Family Nurse Practitioner 363LF0000X TX Primary

Addresses

Primary practice location

4800 S 23Rd St
Suite 7
McAllen, TX 78503-8692

Mailing address

2208 Primrose Ave Ste F
McAllen, TX 78504-4162
Phone (956) 627-5320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131031000209 TX Part B Supplier - Clinic/Group Practice 4486889375 Receives reassigned benefits from 2 practitioners
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

2208 Primrose Ave
Ste F
McAllen, TX 78504
Phone (956) 618-3480

4800 S 23rd St
Ste 7
McAllen, TX 78503
Phone (956) 627-5320

Practitioners & affiliated clinicians

Practitioners 4

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": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1396170080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 PRIMROSE AVE STE F",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044162",
            "telephone_number": "956-627-5320",
            "fax_number": "956-627-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S 23RD ST",
            "address_2": "SUITE 7",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785038692",
            "telephone_number": "956-627-5320",
            "fax_number": "956-627-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THERESE FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "956-627-5320",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.