Organization Active NPI

El Buen Pastor Family Clinic & Wound Care Center

Doing business as El Buen Pastor Family Clinic

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1881462711
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EL BUEN PASTOR FAMILY CLINIC & WOUND CARE CENTER
Doing business as
El Buen Pastor Family Clinic
Practice address
13500 E Hwy 107 Ste 4
Edinburg, TX 78542-1877
Phone
(956) 339-6526
Fax
(956) 435-0021
NPI assigned
Dec 20, 2023
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Maleah McLelland
Title
Operations Director
Phone
(565) 342-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

13500 E Hwy 107 Ste 4
Edinburg, TX 78542-1877

Mailing address

13500 E Hwy 107 Ste 4
Edinburg, TX 78542-1877
Phone (956) 339-6526

Other names 1

  • EL BUEN PASTOR FAMILY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312003306 TX Part B Supplier - Clinic/Group Practice 6709222748 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1881462711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 E HWY 107 STE 4",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421877",
            "telephone_number": "956-339-6526",
            "fax_number": "956-435-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 E HWY 107 STE 4",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421877",
            "telephone_number": "956-339-6526",
            "fax_number": "956-435-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL BUEN PASTOR FAMILY CLINIC & WOUND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "MCLELLAND",
        "authorized_official_first_name": "MALEAH",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "565-342-5129"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL BUEN PASTOR FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.