Organization Active NPI

Comanche Family Clinic LLC

  • Family Nurse Practitioner
  • Comanche, TX
National Provider Identifier
1508071697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
607586 Issued in TX
Legal business name
COMANCHE FAMILY CLINIC LLC
Practice address
105 Valley Forge St
Comanche, TX 76442-1813
Phone
(325) 356-7530
Fax
(325) 356-5388
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rachel N Hilliard, FNP
Title
Owner
Phone
(325) 325-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 607586 TX Primary

Addresses

Primary practice location

105 Valley Forge St
Comanche, TX 76442-1813

Mailing address

105 Valley Forge St
Comanche, TX 76442-1813
Phone (325) 356-7530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508071697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VALLEY FORGE ST",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764421813",
            "telephone_number": "325-356-7530",
            "fax_number": "325-356-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VALLEY FORGE ST",
            "city": "COMANCHE",
            "state": "TX",
            "postal_code": "764421813",
            "telephone_number": "325-356-7530",
            "fax_number": "325-356-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-325-7530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "607586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comanche, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.