Genetic Risk Consulting, PA

Primary specialty

Genetics Clinic/CenterTaxonomy code 261QG0250X

License

J6380 Issued in TX

Legal business name

GENETIC RISK CONSULTING, PA

Practice address

9430 County Road 4074
Scurry, TX 75158-4730

Phone

(469) 563-7333

Fax

(214) 481-7238

NPI assigned

Nov 21, 2017

Last updated

Nov 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvette Clifford, MDNPI 1588692024

Title

President

Phone

(469) 563-7333

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Yvette Clifford, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Paris, TX
  • NPI 1588692024
  NPD Authorized official

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1679087076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 COUNTY ROAD 4074",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751584730",
            "telephone_number": "469-563-7333",
            "fax_number": "214-481-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 COUNTY ROAD 4074",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751584730",
            "telephone_number": "469-563-7333",
            "fax_number": "214-481-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETIC RISK CONSULTING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-563-7333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "TX",
            "license": "J6380",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "J6380",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "J6380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J3680",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Elaine Briscoe, MS
• Ali M Couch, LVN
• J. Kyle Daniel, LPC
• Mariah Patrice Davis
• Jimmie Lynn Garcia, PHLEBOTOMIST NRCPT
• Katlyn Cheree Gray, LMSW
• Caitlin Alexandra Guziak-Hoerr, LPC, LCDC
• Donna Jewel Hernandez, LVN
• Heather Rachelle Jestis
• KB Support Services

• Clinic/Center in Scurry, TX
• Providers in Scurry, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.