Organization Active NPI

Saucedo Family Clinic PLLC

  • Primary Care Clinic/Center
  • Mission, TX
National Provider Identifier
1669362588
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAUCEDO FAMILY CLINIC PLLC
Practice address
2121 E Griffin Pkwy Ste 12
Mission, TX 78572-3072
Phone
(956) 271-6203
Fax
(956) 529-5009
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Juan Ricardo Saucedo, FNPNPI 1962064881
Title
Nurse Practitioner
Phone
(830) 513-2230

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2121 E Griffin Pkwy Ste 12
Mission, TX 78572-3072

Mailing address

2121 E Griffin Pkwy Ste 12
Mission, TX 78572-3072
Phone (956) 271-6203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031002528 TX Part B Supplier - Clinic/Group Practice 3577052257 Receives reassigned benefits from 1 practitioner
Practice locations: Mission, 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
45D2343051Saucedo Family Clinic PLLC2121 E Griffin Parkway Suite #12, Mission, TX 78572Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1669362588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 12",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-271-6203",
            "fax_number": "956-529-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 12",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-271-6203",
            "fax_number": "956-529-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUCEDO FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "830-513-2230",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.