Organization Active NPI

Faith Healthcare Services,Inc

  • Physician Assistant
  • Mission, TX
National Provider Identifier
1508897166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02395 Issued in TX
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

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
Joseph U Eromosele, PANPI 1104855493
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)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.