Med C Clinico

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MED C CLINICO

Practice address

3804 John Stockbauer
Suite E
Victoria, TX 77904

Phone

(361) 579-0715

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By 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

Hong Wang

Title

Ceo

Phone

(361) 579-0715

Specialties & licenses 1

Addresses

Tax ID family

Granite Keepholdings Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Granite Keepholdings, Inc.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1902097611
  NPD tax ID

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1588855290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 JOHN STOCKBAUER",
            "address_2": "SUITE E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 JOHN STOCKBAUER",
            "address_2": "SUITE E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-579-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED C CLINICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-579-0715"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W McNeely, MD
• John Lee McNeill, DO
• Katelin McVey, PA
• Cameo Lynn Mead, LPC
• Meals on Wheels South Texas
• Matias Relos Medina, MD
• Gregory G Meister, PHARM.D.
• Sergio Mejia, MD
• Bertha P Mendieta, PA
• Melissa Ann Mendoza

• Family Medicine Physician in Victoria, TX
• Providers in Victoria, 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 Aug 7, 2007; 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.