Individual provider Active NPI

Luis Humberto Tamez, PHYSISIAN ASSISTANT

  • Medical Physician Assistant
  • Brownsville, TX
National Provider Identifier
1942362397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04091 Issued in TX
Practice address
3302 Boca Chica Blvd Ste 109
Brownsville, TX 78521-4271
Phone
(956) 982-1001
Fax
(956) 982-1938
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04091 TX Primary

Addresses

Primary practice location

3302 Boca Chica Blvd Ste 109
Brownsville, TX 78521-4271

Mailing address

2408 Treasure Hills CT
Harlingen, TX 78550-8646
Phone (956) 982-1001

Other identifiers 2

IdentifierTypeStateIssuer
L0143546OtherTXDPS REGISTRATION NUMBER
PA04091OtherTXPHYSICIAN ASSISTANT PERMI

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04091TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Ornelas Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942362397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 TREASURE HILLS CT",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508646",
            "telephone_number": "956-982-1001",
            "fax_number": "956-982-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 BOCA CHICA BLVD STE 109",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214271",
            "telephone_number": "956-982-1001",
            "fax_number": "956-982-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMEZ",
        "first_name": "LUIS",
        "middle_name": "HUMBERTO",
        "name_prefix": "Mr.",
        "credential": "PHYSISIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS REGISTRATION NUMBER",
            "identifier": "L0143546",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT PERMI",
            "identifier": "PA04091",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.