Clinica HF Fort Worth LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA HF FORT WORTH LLC

Practice address

1303 N Beach St
Fort Worth, TX 76111-6613

Phone

(682) 385-0002

NPI assigned

Dec 2, 2022

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marsel Yousef

Title

Owner

Phone

(346) 213-0377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Rose Santiago Benny, MD

  • Pediatrics Physician
  • Missouri City, TX
  • NPI 1043349756
  Medicare reassignment NPD
• Daimel Perez Lopez

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1932974813
  Medicare reassignment NPD
• Pedro Pablo San Martin Parra, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1205414604

  TX

  Medicare reassignment NPD
• Giselle Cabezas Valdes, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1508329210
  NPD (past)

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1407566177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116613",
            "telephone_number": "682-385-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116613",
            "telephone_number": "682-385-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HF FORT WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "MARSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-213-0377"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mooney Cline, CNM
• Natasha Avonne Cline
• Clinic 21 of Ft. Worth, LLC
• Clinica Familiar Las Americas FW Inc
• Clinica Guadalupe Grand Plaza,LLC
• Clinica Hispana del Metroplex LLC
• Clinica Hispana San Sebastian
• Clinical Care in Radiology
• Clinical Nephrology Assoc
• Clinical Nephrology Associates, PA

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.