Triangle Specialized Family Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TRIANGLE SPECIALIZED FAMILY CLINIC

Doing business as

Triangle Specialized Virtual clinic

Practice address

1805 E Ruben M Torres Blvd
Suite a-3
Brownsville, TX 78526

Phone

(866) 446-9620

Fax

(956) 267-5255

NPI assigned

Oct 5, 2018

Last updated

Jul 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Efehi Henrietta Enobakhare, FNP-CNPI 1396073599

Title

Ceo

Phone

(956) 561-1461

Specialties & licenses 1

Addresses

Other names 1

• Triangle Specialized Virtual clinic Doing business as

Locations

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.

• Efehi H Enobakhare

  • Family Nurse Practitioner
  • Brownsville, TX
  • NPI 1396073599
  Authorized official Same address or phone

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1780159897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHAMPLAIN DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261245",
            "telephone_number": "956-561-1461",
            "fax_number": "956-621-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E RUBEN M TORRES BLVD",
            "address_2": "SUITE A-3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "866-446-9620",
            "fax_number": "956-267-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Uptown Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785207559",
            "country_code": "US",
            "telephone_number": "817-422-6925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIANGLE SPECIALIZED FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "ENOBAKHARE",
        "authorized_official_first_name": "EFEHI",
        "authorized_official_middle_name": "HENRIETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-561-1461",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Specialized Virtual clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triangle Specialized Virtual clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Modesta Trevino, SLP
• Ruben Trevino
• Vanessa Trevino
• Vanessa Maria Perez Trevino
• Maria Triana-Escobar, FNP-BC
• Triangle Specialized Health Care Business Enterprise Corporation (Triangle Specialized Non Emergency Transportation)
• Trinity Health Services PLLC
• Trinity Home Care Inc.
• Trinity Therapy and Diagnostician Services, LLC
• Triumph Emergency Physicians, PLLC

• Family Nurse Practitioner in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.