CLINICA DE PUEBLO DE PALMAS, INC (NPI# 1023315967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023315967 |
| Entity Type | Organization |
| Organization Name | CLINICA DE PUEBLO DE PALMAS, INC |
| Practice Address |
3204 Mile 5 Rd Mission TX 78574-6206 |
| Practice Telephone | 9564249863 |
| Practice Fax Number | 9564249868 |
| Mailing Telephone | 9564249863 |
| Mailing Fax Number | 9564249868 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | MRS. DEE TREVINO (OFFICE MANAGER) |
| Authorized Official Telephone | 9567925606 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | INCORPORATION NUMBER | 801379109 | 01 |
| Street Address |
3204 MILE 5 RD |
| City | MISSION |
| State | TX |
| Zip Code | 78574-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163242 | Michelle Monique Brookshire | Pharmacist | 215 E 3 Mile Road, Palmhurst, TX 78574 | 2020-10-30 |
| 1720686967 | Beatriz Gonzalez | Counselor | 700 E 2 Mile Line, Mission, TX 78574 | 2020-10-10 |
| 1740760545 | Sabrina Rodriguez | Speech-Language Pathologist | 3007 N. Conway Ave, Mission, TX 78574 | 2018-08-21 |
| 1649724709 | Magaly Lopez | Specialist/Technologist | 1213 E 28th St, Mission, TX 78574 | 2016-08-06 |
| 1497131015 | Ali and Husain Md,pa | Family Medicine | 3003 N. Conway Ave., Mission, TX 78574 | 2015-08-05 |
| 1124459698 | Hobert L Smith, Md Pa | General Practice | 703 N Bentsen Palm Dr, Ste. H, Palmview, TX 78574 | 2013-12-09 |
| 1609129352 | Mgbr Group LLC | Clinic/Center | 3800 N Fm 492, Mission, TX 78574 | 2012-10-18 |
| 1750637351 | Epoca De Oro Adult Day Care, LLC | Clinic/Center | 915 N. La Homa Rd., Palmview, TX 78574 | 2012-08-01 |
| 1790044501 | Family Dentaland, P.a. | Dentist | 3401 W. Mile 5 Road, Suite 3, Mission, TX 78574 | 2012-05-14 |
| 1700165735 | A&f Contractors Inc. | Contractor | 6209 N Doffing Rd, Mission, TX 78574 | 2011-08-09 |
| Find all providers in zip 78574 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637560 | Fenold Byron | Family Medicine | 900 Travis St Apt 35, Mission, TX 78572-6663 | 2020-04-06 |
| 1154976900 | Jonathan Pierre-louis | Family Medicine | 2310 E Interstate Highway 2 Ste 3, Mission, TX 78572-2104 | 2019-08-08 |
| 1093258170 | Luis Alberto Mata, Pllc | Family Medicine | 2118 E Griffin Pkwy, Mission, TX 78572-3225 | 2016-11-22 |
| 1326401167 | Fernando Luna Fnp-bc, Pllc | Family Medicine | 907 W 26th St, Mission, TX 78574-7615 | 2016-03-30 |
| 1497131015 | Ali and Husain Md,pa | Family Medicine | 3003 N. Conway Ave., Mission, TX 78574 | 2015-08-05 |
| 1902285299 | Luis E Ferrufino Md Pllc | Family Medicine | 3406 San Eduardo St, Mission, TX 78572-6494 | 2015-05-20 |
| 1891071106 | Rafael Rafols Md Pa | Family Medicine | 2009 E Griffin Pkwy, Mission, TX 78572-3222 | 2011-10-31 |
| 1174816201 | South Texas Community Medical, LLC | Family Medicine | 102 S Bryan Rd, Mission, TX 78572-6218 | 2011-05-23 |
| 1245480441 | Sunshine Excellent Care Services Inc. | Family Medicine | 1616 E Griffin Pkwy, Ste127, Mission, TX 78572-3180 | 2008-09-24 |
| 1164687448 | Philip Glenn Midgley | Family Medicine | 906 S Bryan Rd, Suite 205, Mission, TX 78572-6613 | 2008-07-25 |
| Find all providers in MISSION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.