NPIMap

Organization Active NPI

Serve All Medical Grand Prairie, PLLC

Doing business as Clinica Hispana

  • Internal Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1699357632
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SERVE ALL MEDICAL GRAND PRAIRIE, PLLC
Doing business as
Clinica Hispana
Practice address
513 W Jefferson St
Grand Prairie, TX 75051-1606
Phone
(469) 213-8421
NPI assigned
Apr 28, 2021
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Casey Lee Reynard
Title
Managing Member
Phone
(281) 853-4794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

513 W Jefferson St
Grand Prairie, TX 75051-1606

Mailing address

PO Box 339
Holland, TX 76534-0339
Phone (512) 487-5556

Other names 1

  • Clinica Hispana Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1699357632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "765340339",
            "telephone_number": "512-487-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W JEFFERSON ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511606",
            "telephone_number": "469-213-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE ALL MEDICAL GRAND PRAIRIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "REYNARD",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-853-4794"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Hispana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.