Family Checkup

Organization Active NPI Family Nurse Practitioner · San Benito, TX

NPI 1780969709 · NPPES record last updated Dec 16, 2011

Key facts

NPI
1780969709
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
641882 (TX)
Legal business name
FAMILY CHECKUP
Practice address
400 W US Highway 77
San Benito, TX 78586-5148
Phone
(956) 399-1641
Fax
(956) 399-0312
NPI assigned
Oct 21, 2011
Organization subpart
No

Authorized official

Name
Mrs. Leonorilda Hines, FNP
Title
FNP
Phone
(956) 399-1641

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

400 W US Highway 77
San Benito, TX 78586
Phone (956) 364-0200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 641882 TX
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X 641882 TX Yes

Addresses

Primary practice location

400 W US Highway 77
San Benito, TX 78586-5148

Mailing address

400 W US Highway 77
San Benito, TX 78586-5148
Phone (956) 399-1641

Other identifiers

IdentifierTypeStateIssuer
641882OtherTXLICENSE NUMBER
TXB140393OtherTXMEDICARE GROUP PTAN

Other providers in San Benito, TX

All providers in San Benito, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.