Individual provider Active NPI

Garry C Souffrant, MD

  • Internal Medicine Physician
  • Harlingen, TX
National Provider Identifier
1942224720
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0929 Issued in TX
Practice address
2101 Pease St
Harlingen, TX 78550-8307
Phone
(956) 296-1491
Fax
(956) 389-4603
NPI assigned
Jul 26, 2006
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0929 TX Primary

Addresses

Primary practice location

2101 Pease St
Harlingen, TX 78550-8307

Mailing address

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750

Other identifiers 4

IdentifierTypeStateIssuer
171757103MedicaidTX
171757105MedicaidTX
171757101MedicaidTX
H08FR81001OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000293 TX Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0244287233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Su Clinica FamiliarGroup PAC ID 5496663429, 24 clinicians

Practice addresses (Care Compare)

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6000

2810 W Expressway
83 Knapp Family Practice Residency Clinic
Mercedes, TX 78570
Phone (833) 887-4863

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Feb 15, 2005 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Dec 1, 2014 Accepting new patients
The University of Texas Rio Grande Valley Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Boro Medical, P.C. Internal Medicine Past Accepting new patients
Su Clinica Familiar Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients
LHHN Medical, P.C. Internal Medicine Past Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients

Locations

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2106 Treasure Hills Blvd
Ste 1
Harlingen, TX 78550
Phone (956) 296-1519

2121 Pease St
Harlingen, TX 78550
Phone (956) 389-1100

707 W Sesame Dr
Harlingen, TX 78550
Phone (956) 412-5800

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: garry.souffrant.1@27715.direct.athenahealth.com
  • Direct secure messaging: gsouffrant89579@direct.utmb.edu
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1942224720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-365-6750",
            "fax_number": "956-365-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-296-1491",
            "fax_number": "956-389-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFFRANT",
        "first_name": "GARRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171757103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171757105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171757101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08FR81001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.