Family Specialists Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4825 Issued in TX

Legal business name

FAMILY SPECIALISTS MEDICAL CENTER PA

Practice address

1605 E Expressway 83
Suite D
Mission, TX 78572-6616

Phone

(956) 585-1564

Fax

(956) 585-2830

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Felipe De Jesus Gomez, MDNPI 1003934365

Title

President

Phone

(956) 585-1564

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• Felipe De Jesus Gomez, MD

  • Family Medicine Physician
  • Mission, TX
  • NPI 1003934365
  Medicare reassignment NPD Authorized official
• David Gomez

  • Public Health & General Preventive Medicine Physician
  • Mission, TX
  • NPI 1407275407

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1700067808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SE AUGUSTA SQ",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031105",
            "telephone_number": "956-585-1564",
            "fax_number": "956-585-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E EXPRESSWAY 83",
            "address_2": "SUITE D",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726616",
            "telephone_number": "956-585-1564",
            "fax_number": "956-585-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SPECIALISTS MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-585-1564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031DM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092297301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dentaland, P.a. (Kids Dentaland)
• Family Health Center of Mission
• Family Health Center of Mission, PLLC
• Family Medicine Associates P a
• Family Provider Services, LLC. (SDQ Provider Services)
• Mohammed Farooqi, PAC
• Michael Keith Farris, ACNPC-AG
• Monica Farris
• William R Fat-Anthony
• Fe & Esperanza Home Care, LLC

• Family Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.

Verify at the official NPI Registry.