Complete Care Family Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L6984 Issued in TX

Legal business name

COMPLETE CARE FAMILY MEDICAL CLINIC PLLC

Practice address

2408 N Conway Ave
Mission, TX 78574-2347

Phone

(956) 585-3397

Fax

(956) 585-3363

NPI assigned

Jan 4, 2018

Last updated

Jan 4, 2018By 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

Dr. Paul James Kinde, MDNPI 1396768594

Title

Owner

Phone

(956) 703-6421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Paul J Kinde, MD

  • Family Medicine Physician
  • La Joya, TX
  • NPI 1396768594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1558878249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 NICOLE DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785749716",
            "telephone_number": "975-703-6421",
            "fax_number": "956-585-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742347",
            "telephone_number": "956-585-3397",
            "fax_number": "956-585-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "KINDE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-703-6421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Congregation of the Daughters of Mary Mother of Mercy
• Consuelo Behavioral Health Services, LLC

• Family Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.