Organization Active NPI

Hispano -American Family Clinic LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1700350535
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HISPANO -AMERICAN FAMILY CLINIC LLC
Practice address
12779 Jones Rd Ste 109
Houston, TX 77070-4687
Phone
(346) 206-3963
Fax
(346) 206-3983
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lizandra Pereira Corzo
Title
FNP-C
Phone
(346) 206-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12779 Jones Rd Ste 109
Houston, TX 77070-4687

Mailing address

12779 Jones Rd Ste 109
Houston, TX 77070-4687
Phone (346) 206-3963

Other names 1

  • Hispano American Family Clinic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103001694 TX Part B Supplier - Clinic/Group Practice 6800220617 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2176743Hispano-American Family Clinic, LLC12779 Jones Road, Suire 109, Houston, TX 77070Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700350535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12779 JONES RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704687",
            "telephone_number": "346-206-3963",
            "fax_number": "346-206-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12779 JONES RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704687",
            "telephone_number": "346-206-3963",
            "fax_number": "346-206-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANO -AMERICAN FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-09-11",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "CORZO",
        "authorized_official_first_name": "LIZANDRA",
        "authorized_official_middle_name": "PEREIRA",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "346-206-3963"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hispano American Family Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hispano American Family Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.