Active NPI
Family Health Center PA
- Family Medicine Physician
- Rio Grande City, TX
National Provider Identifier
1689698268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY HEALTH CENTER PA
- Practice address
- 2764 Pharmacy Rd
Rio Grande City, TX 78582-6201 - Phone
- (956) 370-2012
- Fax
- (956) 370-2023
- NPI assigned
- Jul 27, 2006
- Last updated
- May 23, 2024
- 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
- Aida Soza, ADMINISTRATOR
- Title
- Administrator
- Phone
- (956) 370-7429
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
2764 Pharmacy Rd
Rio Grande City, TX 78582-6201
Mailing address
2768 Pharmacy Rd
Rio Grande City, TX 78582-6201
Phone (956) 487-5621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092645303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Emergency Medicine Physician
- Rio Grande City, TX
- NPI 1649288259
-
- Family Medicine Physician
- Rio Grande City, TX
- NPI 1356358915
-
- Family Medicine Physician
- Rio Grande City, TX
- NPI 1275846156
-
- Medical Physician Assistant
- Rio Grande City, TX
- NPI 1477569523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1689698268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2768 PHARMACY RD",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826201",
"telephone_number": "956-487-5621",
"fax_number": "956-487-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 PHARMACY RD",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826201",
"telephone_number": "956-370-2012",
"fax_number": "956-370-2023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "SOZA",
"authorized_official_first_name": "AIDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-370-7429",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092645303",
"state": "TX"
}
],
"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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.