Organization Active NPI

St Family Clinic Inc

  • Clinic/Center
  • El Paso, TX
National Provider Identifier
1710230065
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
614032 Issued in TX
Legal business name
ST FAMILY CLINIC INC
Practice address
1470 George Dieter Dr
Suite F
El Paso, TX 79936-7678
Phone
(915) 599-9993
Fax
(915) 599-9050
NPI assigned
Oct 24, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Ms. Engracia Del Rocio Vazquez, RN
Title
Owner
Phone
(915) 599-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 614032 TX Primary

Addresses

Primary practice location

1470 George Dieter Dr
Suite F
El Paso, TX 79936-7678

Mailing address

1470 George Dieter Dr
Suite F
El Paso, TX 79936-7678
Phone (915) 599-9993

Other identifiers 1

IdentifierTypeStateIssuer
614032OtherTX614032 TX RN NUMBER

National Provider Directory

National Provider Directory

Locations

1600 N Lee Trevino Dr
Ste D1
El Paso, TX 79936

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1710230065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 GEORGE DIETER DR",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367678",
            "telephone_number": "915-599-9993",
            "fax_number": "915-599-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 GEORGE DIETER DR",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367678",
            "telephone_number": "915-599-9993",
            "fax_number": "915-599-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "ENGRACIA",
        "authorized_official_middle_name": "DEL ROCIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-599-9993",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "614032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "614032 TX RN NUMBER",
            "identifier": "614032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.