Organization Active NPI

Family Medical and Specialty Clinic LLP

  • Family Nurse Practitioner
  • Rio Grande City, TX
National Provider Identifier
1679016729
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132499 Issued in TX
Legal business name
FAMILY MEDICAL AND SPECIALTY CLINIC LLP
Practice address
2790 Pharmacy Rd
Rio Grande City, TX 78582-6546
Phone
(956) 487-7561
Fax
(956) 487-0097
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Jose Andres Vazquez, M.D.NPI 1134147549
Title
Medical Director
Phone
(956) 487-7561

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 Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP132499 TX Primary

Addresses

Primary practice location

2790 Pharmacy Rd
Rio Grande City, TX 78582-6546

Mailing address

2790 Pharmacy Rd
Rio Grande City, TX 78582
Phone (956) 487-7561

National Provider Directory

National Provider Directory

Locations

2790 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 487-5621

Practitioners & affiliated clinicians

Practitioners 3

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1679016729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "78582",
            "telephone_number": "956-487-7561",
            "fax_number": "956-487-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826546",
            "telephone_number": "956-487-7561",
            "fax_number": "956-487-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL AND SPECIALTY CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-487-7561",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.