Organization Active NPI

Little Donkey Health Services Inc.

Doing business as Alton Family Clinic

  • Family Nurse Practitioner
  • Alton, TX
National Provider Identifier
1720318744
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LITTLE DONKEY HEALTH SERVICES INC.
Doing business as
Alton Family Clinic
Practice address
3509 E Main Ave
Ste 101
Alton, TX 78573-1561
Phone
(956) 580-9950
Fax
(956) 580-9953
NPI assigned
Jan 14, 2010
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Hector Rodriguez III, FNPNPI 1992724090
Title
Ceo
Phone
(956) 580-9950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

3509 E Main Ave
Ste 101
Alton, TX 78573-1561

Mailing address

3509 E Main Ave
Ste 101
Alton, TX 78573-1561
Phone (956) 580-9950

Other identifiers 1

IdentifierTypeStateIssuer
2176547MedicaidTX

Other names 1

  • Alton Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090901000152 TX Part B Supplier - Clinic/Group Practice 3072668821 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Alton, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3509 E Main Ave
Ste 101
Mission, TX 78573
Phone (956) 580-9950

Practitioners & affiliated clinicians

Practitioners 3

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": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1720318744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 E MAIN AVE",
            "address_2": "STE 101",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731561",
            "telephone_number": "956-580-9950",
            "fax_number": "956-580-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E MAIN AVE",
            "address_2": "STE 101",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731561",
            "telephone_number": "956-580-9950",
            "fax_number": "956-580-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE DONKEY HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-580-9950",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176547",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alton Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.