Merced Family Health Clinic
Organization Active NPI General Practice Physician · Palmview, TX
NPI 1659974657 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1659974657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- MERCED FAMILY HEALTH CLINIC
- Practice address
- 202 Palmview Dr Ste 1
Palmview, TX 78572-9394 - Phone
- (956) 225-2625
- Fax
- (956) 598-6069
- NPI assigned
- Nov 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Juan R Llanes, APRN,FNP-BC
- Title
- Owner
- Phone
- (956) 225-2625
Practitioners 3
-
Juan Roberto Llanes, MSN, APRN FNP-BC
-
Pete Sanchez, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2224091 | Merced Family Health Clinic | Certificate of waiver | May 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210715002260 | TX | Part B Supplier - Clinic/Group Practice | 3870908122 |
Receives reassigned benefits from 1 practitioner Practice locations: Palmview, TX |
National Provider Directory
Locations
202 Palmview Dr
Ste 1
Palmview, TX 78572
202 Palmview Dr
Ste A
Palmview, TX 78572
Phone (956) 585-0022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
202 Palmview Dr Ste 1
Palmview, TX 78572-9394
Mailing address
PO Box 3371
Mission, TX 78573-0057
Phone (956) 225-2625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306843347 | Other | TX | JRL NPI |
| 1391708-22 | Medicaid | TX | |
| 1639137193 | Other | TX | DOC NPI |
Other providers in Palmview, TX
- Gerardo Martinez D.M.D.
- America Martinez
- Jose Martinez
- McAllen Care Providers, Inc.
- Medallion Medical Equipment LLC
- Mi Ilusion LLC
- Mission Hospital Inc
- Berenice Montoya
- Mosv Inc
- Neurodidactica Consulting, LLC
All providers in Palmview, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.