Organization Active NPI

South Point Health & Wellness Clinic, LLC

  • Family Medicine Physician
  • Alamo, TX
National Provider Identifier
1447764774
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH POINT HEALTH & WELLNESS CLINIC, LLC
Practice address
1243 W Business 83
Alamo, TX 78516-2532
Phone
(956) 787-8416
Fax
(956) 787-6781
NPI assigned
Nov 22, 2017
Last updated
Nov 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Mrs. Maricruz Rocha
Title
Owner
Phone
(956) 787-8417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1243 W Business 83
Alamo, TX 78516-2532

Mailing address

1243 W Business 83
Alamo, TX 78516-2532
Phone (956) 787-8417

National Provider Directory

National Provider Directory

Locations

1243 W US Highway 83
Alamo, TX 78516
Phone (956) 787-8416

Practitioners & affiliated clinicians

Practitioners 1

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": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1447764774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 W BUSINESS 83",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162532",
            "telephone_number": "956-787-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 W BUSINESS 83",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162532",
            "telephone_number": "956-787-8416",
            "fax_number": "956-787-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POINT HEALTH & WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "MARICRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-787-8417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.