Organization Active NPI

Daryl C Currier MD PA

Doing business as Floresville Family Medical Center

  • Rural Health Clinic/Center
  • Floresville, TX
National Provider Identifier
1780892075
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DARYL C CURRIER MD PA
Doing business as
Floresville Family Medical Center
Practice address
921 10TH St Ste 111
Floresville, TX 78114-1866
Phone
(830) 216-7979
Fax
(830) 216-5972
NPI assigned
May 18, 2007
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Daryl C Currier, MDNPI 1508808700
Title
Owner
Phone
(830) 996-3701

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 673853 TX

Addresses

Primary practice location

921 10TH St Ste 111
Floresville, TX 78114-1866

Mailing address

PO Box 98
Stockdale, TX 78160-0098
Phone (830) 216-7979

Other identifiers 1

IdentifierTypeStateIssuer
160025601MedicaidTX

Other names 1

  • FLORESVILLE FAMILY MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000913 TX Part A Provider - Rural Health Clinic 1153391305 Practice locations: Floresville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780892075. Details of each certification follow.

Rural health clinic certification: CCN 673853

Legal name
DARYL C CURRIER MD PA
Doing business as
FLORESVILLE FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 13, 2003
Last certification
May 17, 2022
Ownership / control type
1B
Organization structure
OtherProprietary
Incorporated
Jan 1, 1998 in TX
Enrollment address
921 10TH St., Suite 111
Floresville Family Med Center
Floresville, TX 78114-1866

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
45D0994999Floresville Family Medical Center921 Tenth Street, Suite 111, Floresville, TX 78114Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Stockdale Medical Cente3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

921 10th St
Ste 111
Floresville, TX 78114
Phone (830) 216-7979

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daryl C Currier MD PA Organization, Stockdale, TX Operational/Managerial Control Oct 1, 2001
Daryl Currier Individual 5% Or Greater Direct Ownership Interest Mar 1, 2002
Corporate Director Jul 27, 2004
W-2 Managing Employee Mar 1, 2002

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1780892075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781600098",
            "telephone_number": "830-216-7979",
            "fax_number": "830-216-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 10TH ST STE 111",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781141866",
            "telephone_number": "830-216-7979",
            "fax_number": "830-216-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL C CURRIER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CURRIER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-996-3701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "673853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160025601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORESVILLE FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORESVILLE FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.