Organization Active NPI

Specialized Family Clinic PLLC

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1750895439
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPECIALIZED FAMILY CLINIC PLLC
Practice address
4232 N McColl Rd
McAllen, TX 78504-2523
Phone
(956) 391-2654
Fax
(888) 393-2655
NPI assigned
Nov 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Srikanth Nangavaram
Title
Administrator
Phone
(956) 215-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4232 N McColl Rd
McAllen, TX 78504-2523

Mailing address

4232 N McColl Rd
McAllen, TX 78504-2523
Phone (956) 391-2654

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
45D2143602Specialized Family Clinic, PLLC4232 N McColl Road, McAllen, TX 78504AccreditationFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

306 E Main Ave
Ste 6
Alton, TX 78573
Phone (956) 597-3005

4232 N McColl Rd
McAllen, TX 78504
Phone (956) 391-2654

Practitioners & affiliated clinicians

Practitioners 7

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": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1750895439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042523",
            "telephone_number": "956-391-2654",
            "fax_number": "888-393-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042523",
            "telephone_number": "956-391-2654",
            "fax_number": "888-393-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "NANGAVARAM",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-215-6010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.