Clinica Familiar Bandera LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLINICA FAMILIAR BANDERA LLC

Practice address

8103 Bandera Rd Ste 102
San Antonio, TX 78250-5185

Phone

(210) 500-2914

NPI assigned

Jul 25, 2026

Organization subpart

No

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

Authorized official

Name

Andy Raul Manzano Matos

Title

Ceo / Managing Member

Phone

(832) 705-2204

Specialties & licenses 2

Addresses

Other names 1

• Proactive Clinic Doing business as

Locations

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1457273203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12134 STONEY CV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474918",
            "telephone_number": "832-705-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 BANDERA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505185",
            "telephone_number": "210-500-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR BANDERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "MANZANO MATOS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "CEO / MANAGING MEMBER",
        "authorized_official_telephone_number": "832-705-2204"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corbin Brady Clifton, DDS
• John Bryan Clifton, MD
• Nicole Elise Clifton, M.D.
• Gretchann N Cline, PA-C
• Clinica del Norte Pediatrics PLLC
• Clinica Medica Falcon Corp
• Clinica Monterrey PA
• Clinica Salud 8 PLLC
• Clinical Advancement Center, PLLC
• Clinical Behavior Analysis, LLC

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.