Individual provider Active NPI

Maurice A Click Jr., M.D.

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1396791331
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8049 Issued in TX
Practice address
619 E Calton Rd
Ste 1
Laredo, TX 78041-3689
Phone
(956) 794-8850
Fax
(956) 727-1383
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8049 TX Primary

Addresses

Primary practice location

619 E Calton Rd
Ste 1
Laredo, TX 78041-3689

Mailing address

619 E Calton Rd
Ste1
Laredo, TX 78041-3689
Phone (956) 794-8850

Other identifiers 1

IdentifierTypeStateIssuer
131345407MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000681 TX Practitioner - Family Practice 8426003005 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
People With Ideas of Love, Liberty, Acceptance and Respect Pillar Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
City of Laredo CurrentSince Jan 1, 2015 Accepting new patients
City of Laredo CurrentSince Jan 1, 2015 Accepting new patients
Informed Care Solutions, Inc Family Medicine Past Accepting new patients
Informed Care Solutions, Inc Past Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Past Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

6406 McPherson Rd
Ste 2
Laredo, TX 78041
Phone (956) 723-7457

6406 McPherson Rd
Ste 23
Laredo, TX 78041
Phone (956) 723-7457

2600 Cedar Ave
Laredo, TX 78040
Phone (956) 523-7500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1396791331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E CALTON RD",
            "address_2": "STE1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413689",
            "telephone_number": "956-794-8850",
            "fax_number": "956-727-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E CALTON RD",
            "address_2": "STE 1",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413689",
            "telephone_number": "956-794-8850",
            "fax_number": "956-727-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLICK",
        "first_name": "MAURICE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131345407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.