Organization Active NPI

Neighborhood Family Clinic, Inc

  • Family Medicine Physician
  • Texas City, TX
National Provider Identifier
1487680864
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1371 Issued in TX
Legal business name
NEIGHBORHOOD FAMILY CLINIC, INC
Practice address
1711 6TH St N
Texas City, TX 77590-6249
Phone
(409) 965-0077
Fax
(409) 965-0088
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Chiachin Lin, M.D.NPI 1871520171
Title
Director
Phone
(409) 965-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X L1371 TX Primary

Addresses

Primary practice location

1711 6TH St N
Texas City, TX 77590-6249

Mailing address

1711 6TH St N
Texas City, TX 77590-6249
Phone (409) 965-0077

Other identifiers 2

IdentifierTypeStateIssuer
172748901MedicaidTX
172748902MedicaidTX

National Provider Directory

National Provider Directory

Locations

1711 6th St N
Texas City, TX 77590
Phone (409) 965-0077

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1487680864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 6TH ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906249",
            "telephone_number": "409-965-0077",
            "fax_number": "409-965-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 6TH ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906249",
            "telephone_number": "409-965-0077",
            "fax_number": "409-965-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD FAMILY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHIACHIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-965-0077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172748901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172748902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.