NPIMap

Organization Active NPI

Sabine-Neches Family Clinic LLC

  • Family Medicine Physician
  • Evadale, TX
National Provider Identifier
1730622432
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SABINE-NECHES FAMILY CLINIC LLC
Practice address
1017 FM 105
Evadale, TX 77615-0599
Phone
(409) 276-2067
NPI assigned
Nov 29, 2016
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Kristi Cole
Title
Cfo
Phone
(409) 276-2067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1017 FM 105
Evadale, TX 77615-0599

Mailing address

PO Box 599
1017 FM 105
Evadale, TX 77615-0599
Phone (409) 276-2067

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, 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": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1730622432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "address_2": "1017 FM 105",
            "city": "EVADALE",
            "state": "TX",
            "postal_code": "776150599",
            "telephone_number": "409-276-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FM 105",
            "city": "EVADALE",
            "state": "TX",
            "postal_code": "776150599",
            "telephone_number": "409-276-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINE-NECHES FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "409-276-2067"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evadale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.