Organization Active NPI

South Texas Family Clinic of Laredo

  • Clinic/Center
  • Laredo, TX
National Provider Identifier
1801233200
Registry record updated May 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
669287 Issued in TX
Legal business name
SOUTH TEXAS FAMILY CLINIC OF LAREDO
Practice address
3914 Rasoul Dr
Laredo, TX 78045-4503
Phone
(956) 489-0098
NPI assigned
May 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2013

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

Authorized official

Name
Sandra Rodriguez, FNP
Title
Family Nurse Practitioner
Phone
(956) 489-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 669287 TX Primary

Addresses

Primary practice location

3914 Rasoul Dr
Laredo, TX 78045-4503

Mailing address

3914 Rasoul Dr
Laredo, TX 78045-4503
Phone (956) 489-0098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369612800000",
    "number": "1801233200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 RASOUL DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780454503",
            "telephone_number": "956-489-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 RASOUL DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780454503",
            "telephone_number": "956-489-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS FAMILY CLINIC OF LAREDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-27",
        "last_updated": "2013-05-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-489-0098",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "669287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; 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.