Organization Active NPI

Victoria Family Medical Clinic PA

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1841786332
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K-8334 Issued in TX
Legal business name
VICTORIA FAMILY MEDICAL CLINIC PA
Practice address
2806 N Navarro St Ste D
Victoria, TX 77901-3937
Phone
(361) 799-9000
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Authorized official

Name
Dr. Michael Reilly McLeod, MD, FAAFP
Title
Owner
Phone
(361) 799-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K-8334 TX Primary

Addresses

Primary practice location

2806 N Navarro St Ste D
Victoria, TX 77901-3937

Mailing address

2806 N Navarro St Ste D
Victoria, TX 77901-3937
Phone (361) 799-9000

National Provider Directory

National Provider Directory

Locations

2806 N Navarro St
Ste D
Victoria, TX 77901
Phone (361) 541-6365

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1841786332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 N NAVARRO ST STE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013937",
            "telephone_number": "361-799-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 N NAVARRO ST STE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013937",
            "telephone_number": "361-799-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA FAMILY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "REILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-799-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAFP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K-8334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.