Family Health Center of Bastrop PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY HEALTH CENTER OF BASTROP PLLC

Practice address

3101 Hwy 71 E
101
Bastrop, TX 78602-5159

Phone

(512) 304-0300

Fax

(512) 304-0341

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Johnny Burns

Title

Ceo

Phone

(512) 304-0300

Specialties & licenses 1

Addresses

Practitioners 2

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

• Geoffrey I. Powell, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1073713046
  NPD (past)
• Robert Leslie Schreiner, P.A.,C.

  • Medical Physician Assistant
  • Bastrop, TX
  • NPI 1205859246
  NPD (past)

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1417246281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 HWY 71 E",
            "address_2": "101",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025159",
            "telephone_number": "512-304-0300",
            "fax_number": "512-304-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 HWY 71 E",
            "address_2": "101",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025159",
            "telephone_number": "512-304-0300",
            "fax_number": "512-304-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF BASTROP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-304-0300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Alonzo Enis Jr.
• Daniel Esteban, O.D.
• Jeffrey Evans, LPC
• Eve Barton, M.Ed., LPC, LLC
• Omolara M Fadare, DDS
• Alyssa Nicole Fanella, PA-C
• Susan Lynn Farris, LCSW
• Fast Track Urgent Care
• Fast Track Urgent Care - Bastrop
• Nada Amr Fawzi, DDS

• Family Medicine Physician in Bastrop, TX
• Providers in Bastrop, 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 Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.