Red River Family Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RED RIVER FAMILY CLINIC LLC

Practice address

115 Medical Dr Ste 101
Victoria, TX 77904-3105

Phone

(361) 355-8202

Fax

(361) 355-8204

NPI assigned

Dec 11, 2023

Last updated

Jun 18, 2025By 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

Mr. Matthew Read

Title

Owner

Phone

(361) 355-8202

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Megan Beth Angerstein, FNP-C

  • Family Nurse Practitioner
  • Victoria, TX
  • NPI 1538849625
  Medicare reassignment Care Compare group NPD
• John Edward Sheffel, RN, FNP-C

  • General Practice Physician
  • Victoria, TX
  • NPI 1760475735
  Medicare reassignment Care Compare group NPD
• Javier M Vazquez Ortiz, M.D.

  • Family Medicine Physician
  • Victoria, TX
  • NPI 1770999377
  Medicare reassignment Care Compare group NPD (past)
• Rose M Goehring, FNP

  • Family Nurse Practitioner
  • Victoria, TX
  • NPI 1225531569
  Medicare reassignment NPD
• Vanessa Vanover Payne, APRN, FNP-C

  • Family Nurse Practitioner
  • Victoria, TX
  • NPI 1598492985
  Medicare reassignment NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1578330452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 FM 2920 RD # 190-279",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883671",
            "telephone_number": "361-355-8202",
            "fax_number": "361-355-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR STE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043105",
            "telephone_number": "361-355-8202",
            "fax_number": "361-355-8204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 E Red River St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015521",
            "country_code": "US",
            "telephone_number": "361-333-2221",
            "fax_number": "361-333-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED RIVER FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-355-8202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benjamin J Reddoch, PHARMD
• Nancy Tran Reddoch
• Karan Lee Redus, PH.D
• Grace Rees, O.T.R.
• Regency IHS NPS LLC

• Primary Care Clinic/Center in Victoria, TX
• Providers in Victoria, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.