Organization Active NPI

Texas Family Wellness Clinic, Inc.

  • Family Medicine Physician
  • Robstown, TX
National Provider Identifier
1629687728
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS FAMILY WELLNESS CLINIC, INC.
Practice address
15406 Northwest Blvd Ste B
Robstown, TX 78380-5865
Phone
(361) 205-9677
Fax
(361) 933-5011
NPI assigned
Jul 24, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ron Jeffrey Guevara, DONPI 1811967300
Title
President/Physician
Phone
(361) 933-1188

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

15406 Northwest Blvd Ste B
Robstown, TX 78380-5865

Mailing address

15406 Northwest Blvd Ste B
Robstown, TX 78380-5865
Phone (361) 933-1188

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rguevara@texasfamilywellnessclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200923002040 TX Part B Supplier - Clinic/Group Practice 7214356369 Receives reassigned benefits from 3 practitioners
Practice locations: Robstown, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2192401Texas Family Wellness Clinic Inc15406 Northwest Blvd, Ste B, Robstown, TX 78380Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

14702 Northwest Blvd
Ste 105
Corpus Christi, TX 78410

3921 W River Dr
Ste 1
Corpus Christi, TX 78410

6326 Yorktown Blvd
Corpus Christi, TX 78414
Phone (361) 334-0613

6326 Yorktown Blvd
Ste 8
Corpus Christi, TX 78414
Phone (361) 232-4187

Interoperability endpoints

  • Direct secure messaging: rguevara@texasfamilywellnessclinic.com

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1629687728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15406 NORTHWEST BLVD STE B",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783805865",
            "telephone_number": "361-933-1188",
            "fax_number": "361-933-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 NORTHWEST BLVD STE B",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783805865",
            "telephone_number": "361-205-9677",
            "fax_number": "361-933-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAMILY WELLNESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "361-933-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rguevara@texasfamilywellnessclinic.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15406 Northwest Blvd Ste B",
            "city": "Robstown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783805865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robstown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.