Active NPI
Family Clinics of Laredo PLLC
- Family Medicine Physician
- Laredo, TX
National Provider Identifier
1669794657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY CLINICS OF LAREDO PLLC
- Practice address
- 3102 Ross St
Loop 20
Laredo, TX 78043-4980 - Phone
- (956) 727-3547
- Fax
- (956) 725-8737
- NPI assigned
- Feb 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar A Trevino, MD
- Title
- MD
- Phone
- (956) 285-7785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3102 Ross St
Loop 20
Laredo, TX 78043-4980
Mailing address
101 W Village Blvd
Suite B
Laredo, TX 78041-2211
Phone (956) 727-3047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212220201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
101 W Village Blvd
Ste B
Laredo, TX 78041
Phone (956) 285-7785
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Laredo, TX
- NPI 1366793952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281312000000",
"number": "1669794657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W VILLAGE BLVD",
"address_2": "SUITE B",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412211",
"telephone_number": "956-727-3047",
"fax_number": "956-717-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 ROSS ST",
"address_2": "LOOP 20",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434980",
"telephone_number": "956-727-3547",
"fax_number": "956-725-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CLINICS OF LAREDO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-18",
"last_updated": "2010-08-09",
"status": "A",
"authorized_official_last_name": "TREVINO",
"authorized_official_first_name": "EDGAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "956-285-7785",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212220201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.