Organization Active NPI

Laredo Premier Healthcare, PLLC

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1437539905
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAREDO PREMIER HEALTHCARE, PLLC
Practice address
7210 McPherson Rd
Suite 115
Laredo, TX 78041-6507
Phone
(956) 722-8046
Fax
(956) 722-8047
NPI assigned
Jun 1, 2015
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Eduardo Gomez - Vazquez, MDNPI 1013076058
Title
Medical Director
Phone
(956) 722-8046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7210 McPherson Rd
Suite 115
Laredo, TX 78041-6507

Mailing address

7210 McPherson Rd
Suite 115
Laredo, TX 78041-6507
Phone (956) 722-8046

National Provider Directory

National Provider Directory

Locations

10410 Medical Loop
Bldg 3B
Laredo, TX 78045
Phone (956) 523-8900

6801 McPherson Rd
Ste 109
Laredo, TX 78041
Phone (956) 728-0323

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1437539905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD",
            "address_2": "SUITE 115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416507",
            "telephone_number": "956-722-8046",
            "fax_number": "956-722-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD",
            "address_2": "SUITE 115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416507",
            "telephone_number": "956-722-8046",
            "fax_number": "956-722-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO PREMIER HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ - VAZQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-722-8046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 11, 2016; 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.