Bis Community Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BIS COMMUNITY CLINIC LLC

Practice address

22140 Highway 90 N
Bedias, TX 77831-5470

Phone

(512) 454-5911

NPI assigned

May 1, 2017

Last updated

May 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Ellis, FNP

Title

Ownder

Phone

(512) 454-5911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1467987172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22140 HIGHWAY 90 N",
            "city": "BEDIAS",
            "state": "TX",
            "postal_code": "778315470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22140 HIGHWAY 90 N",
            "city": "BEDIAS",
            "state": "TX",
            "postal_code": "778315470",
            "telephone_number": "512-454-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIS COMMUNITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "512-454-5911",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bis Community Clinic LLC (B.I.S. Community Clinic)
• Evergreen Counseling Center
• Janice Denise Ferguson
• Heart of Texas Home Medical Services
• Maria Adelina Lawrence

• Family Nurse Practitioner in Bedias, TX
• Providers in Bedias, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.