Clinica Familiar la Luz LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLINICA FAMILIAR LA LUZ LLC

Practice address

29310 Prairie Rose CT
Katy, TX 77494-7384

Phone

(832) 937-5596

Fax

(832) 937-5596

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Norbe Luis Basulto Basulto, NP

Title

Director

Phone

(713) 660-1603

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Clinica Familiar La Luz Doing business as

Locations

Practitioners 1

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

• Norbe Luis Basulto Barcelay, LSA, FNP-C

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1861628505
  NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1871290825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29310 PRAIRIE ROSE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947384",
            "telephone_number": "832-937-5596",
            "fax_number": "832-937-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29310 PRAIRIE ROSE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947384",
            "telephone_number": "832-937-5596",
            "fax_number": "832-937-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5302 Canal St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770112258",
            "country_code": "US",
            "telephone_number": "713-660-1603",
            "fax_number": "713-660-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICA FAMILIAR LA LUZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "BASULTO BASULTO",
        "authorized_official_first_name": "NORBE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-660-1603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH CHOICE",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBETTER",
            "identifier": "1861628505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1861628505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Familiar La Luz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tania L Clemons, LPC-ASSOCIATE
• Dominique D Cleveland, MD
• Jennifer Cleveland, RD
• Click Chiro LLC
• Clinica Familiar Alianza Re&Be LLC
• Clinica Latina Familiar 2 LLC
• Clinica Universo Latino 1 LLC
• Clinica4You PLLC
• Clinvax Clinical Trial Solutions
• Close Help Home Care LLC

• Primary Care Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.