Organization Active NPI

La Feria Medical Clinic, P.a.

Doing business as La Feria Medical Clinic

  • Health Service Clinic/Center
  • La Feria, TX
National Provider Identifier
1457302085
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LA FERIA MEDICAL CLINIC, P.A.
Doing business as
La Feria Medical Clinic
Practice address
129 W Commercial Ave
La Feria, TX 78559-5108
Phone
(956) 797-9200
Fax
(956) 797-1018
NPI assigned
May 16, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mr. Javier Vazquez
Title
Manager
Phone
(956) 428-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

129 W Commercial Ave
La Feria, TX 78559-5108

Mailing address

129 W Commercial Ave
La Feria, TX 78559-5108
Phone (956) 797-9200

Other identifiers 2

IdentifierTypeStateIssuer
158340302OtherTXEPSDT
158340301MedicaidTX

Other names 1

  • La Feria Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

129 E Commercial Ave
La Feria, TX 78559
Phone (956) 797-9200

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1457302085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W COMMERCIAL AVE",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785595108",
            "telephone_number": "956-797-9200",
            "fax_number": "956-797-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W COMMERCIAL AVE",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785595108",
            "telephone_number": "956-797-9200",
            "fax_number": "956-797-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FERIA MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-428-3701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "158340302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158340301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Feria Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Feria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.