Organization Active NPI

Clear Choice Physician Group

  • Multi-Specialty Clinic/Center
  • Laredo, TX
National Provider Identifier
1417522657
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CLEAR CHOICE PHYSICIAN GROUP
Practice address
6406 McPherson Rd Ste 5
Laredo, TX 78041-6258
Phone
(281) 363-3156
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Oscar J Buitron
Title
Chief Operating Officer
Phone
(210) 708-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6406 McPherson Rd Ste 5
Laredo, TX 78041-6258

Mailing address

6406 McPherson Rd Ste 5
Laredo, TX 78041-6258
Phone (210) 708-4913

Other practice location 1

7105 N Bartlett Ave Ste 101
Laredo, TX 78041-6466
Phone (281) 363-3156

Other practice location 2

6406 McPherson Rd Ste 4
Laredo, TX 78041-6258
Phone (281) 363-3156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528000935 TX Part B Supplier - Clinic/Group Practice 2668893793 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laredo, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clear Choice Physician Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6406 McPherson Rd
Ste 4
Laredo, TX 78041

6406 McPherson Rd
Laredo, TX 78041
Phone (956) 319-8863

Practitioners & affiliated clinicians

Practitioners 3

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": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1417522657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 MCPHERSON RD STE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416258",
            "telephone_number": "210-708-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 MCPHERSON RD STE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416258",
            "telephone_number": "281-363-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 N Bartlett Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416466",
            "country_code": "US",
            "telephone_number": "281-363-3156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6406 McPherson Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416258",
            "country_code": "US",
            "telephone_number": "281-363-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR CHOICE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BUITRON",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "210-708-4913"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.