Active NPI
Faith Healthcare Services,Inc
- Physician Assistant
- Mission, TX
National Provider Identifier
1508897166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02395
- Legal business name
- FAITH HEALTHCARE SERVICES,INC
- Practice address
- 2901 La Homa Blvd
Ste B
Mission, TX 78572 - Phone
- (956) 581-0401
- Fax
- (956) 581-0654
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph U Eromosele, PA
- Title
- Owner
- Phone
- (956) 581-0401
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02395 | TX | Primary |
Addresses
Primary practice location
2901 La Homa Blvd
Ste B
Mission, TX 78572
Mailing address
PO Box 3360
Mission, TX 78573-0057
Phone (956) 581-0401
Other names 1
- FE FAMILY CLINIC
National Provider Directory
National Provider DirectoryLocations
2901 N La Homa Rd
Unit B
Mission, TX 78574
Phone (956) 581-0401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Mission, TX
- NPI 1104855493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508897166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "MISSION",
"state": "TX",
"postal_code": "785730057",
"telephone_number": "956-581-0401",
"fax_number": "956-581-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 LA HOMA BLVD",
"address_2": "STE B",
"city": "MISSION",
"state": "TX",
"postal_code": "78572",
"telephone_number": "956-581-0401",
"fax_number": "956-581-0654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH HEALTHCARE SERVICES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EROMOSELE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-581-0401",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FE FAMILY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, 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.