Organization Active NPI

McAllen Primary Care Clinic PLLC

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1396690301
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCALLEN PRIMARY CARE CLINIC PLLC
Practice address
110 E Savannah Ave BLDG A203
McAllen, TX 78503-1239
Phone
(956) 686-4040
Fax
(956) 686-2936
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Sergio Diaz, PANPI 1740423474
Title
Owner
Phone
(956) 686-4040

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 Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

110 E Savannah Ave BLDG A203
McAllen, TX 78503-1239

Mailing address

110 E Savannah Ave BLDG A203
McAllen, TX 78503-1239
Phone (956) 686-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526001258 TX Part B Supplier - Clinic/Group Practice 9234609892 Receives reassigned benefits from 6 practitioners
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

110 E Savannah Ave
Bldg A203
McAllen, TX 78503
Phone (956) 682-4536

Practitioners & affiliated clinicians

Practitioners 6

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": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1396690301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG A203",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031239",
            "telephone_number": "956-686-4040",
            "fax_number": "956-686-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG A203",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031239",
            "telephone_number": "956-686-4040",
            "fax_number": "956-686-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALLEN PRIMARY CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-686-4040",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Mar 4, 2026; 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.