Organization Active NPI

Uvalde Family Practice Assoc.

  • Family Medicine Physician
  • Uvalde, TX
National Provider Identifier
1861497448
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6787 Issued in TX
Legal business name
UVALDE FAMILY PRACTICE ASSOC.
Practice address
1800 Garner Field Rd
Uvalde, TX 78801-6210
Phone
(830) 278-4453
Fax
(830) 278-3427
NPI assigned
Jun 20, 2005
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Mrs. Elma Sanchez
Title
Office Manager
Phone
(830) 278-4453

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6787 TX Primary
Family Medicine Physician 207Q00000X H0376 TX
Clinical Medical Laboratory 291U00000X 45D0506268 TX

Addresses

Primary practice location

1800 Garner Field Rd
Uvalde, TX 78801-6210

Mailing address

1800 Garner Field Rd
Uvalde, TX 78801-6210
Phone (830) 278-4453

Other identifiers 8

IdentifierTypeStateIssuer
017801401OtherTXSUPERIOR HEALTH
083850001OtherTXMOLINA HEALTH INS.
017801401OtherTXAMERIGROUP INS.
083850001OtherTXSUPERIOR HEALTHPLAN
126866602OtherTXSUPERIOR HEALTHPLAN
083850001OtherTXAMERIGROUP INS.
135092804OtherTXSUPERIOR HEALTHPLAN
017801401OtherTXMOLINA INS.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: cherie.hauptmeier@umhtx.direct.hasaservices.org

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
Lawrence P Wegrzyn MD Estate Organization, Uvalde, TX Created for acquisition 5% Or Greater Direct Ownership Interest Oct 16, 2019 100%
Alexandra Wegrzyn Individual Corporate Director Oct 16, 2019 100%
W-2 Managing EmployeePractice Administrator Sep 1, 2016 100%
Operational/Managerial Control100 Oct 16, 2019

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1861497448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GARNER FIELD RD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016210",
            "telephone_number": "830-278-4453",
            "fax_number": "830-278-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GARNER FIELD RD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016210",
            "telephone_number": "830-278-4453",
            "fax_number": "830-278-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVALDE FAMILY PRACTICE ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ELMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-278-4453",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6787",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0376",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0506268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH",
            "identifier": "017801401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH INS.",
            "identifier": "083850001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP INS.",
            "identifier": "017801401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "083850001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "126866602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP INS.",
            "identifier": "083850001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "135092804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA INS.",
            "identifier": "017801401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.