Organization Active NPI

Menchaca Family Clinic

  • Family Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1902345739
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130251 Issued in TX
Legal business name
MENCHACA FAMILY CLINIC
Practice address
2208 Primrose Dr
Weslaco, TX 78596-7857
Phone
(956) 975-5295
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Michael Emmanuel Menchaca, FNP-CNPI 1326406174
Title
Owner
Phone
(956) 975-5295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130251 TX Primary

Addresses

Primary practice location

2208 Primrose Dr
Weslaco, TX 78596-7857

Mailing address

2208 Primrose Dr
Weslaco, TX 78596-7857
Phone (956) 975-5295

Other identifiers 1

IdentifierTypeStateIssuer
1326406174OtherTXNPI

National Provider Directory

National Provider Directory

Locations

1102 S F St
Harlingen, TX 78550
Phone (956) 230-0655

Practitioners & affiliated clinicians

Practitioners 2

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1902345739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 PRIMROSE DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967857",
            "telephone_number": "956-975-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 PRIMROSE DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967857",
            "telephone_number": "956-975-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENCHACA FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MENCHACA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-975-5295",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326406174",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.