CLINIC ON WHEELZ LLC NPI 1114652575

NPI Information

NPI: 1114652575
Provider Name: CLINIC ON WHEELZ LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2264199

Address:
1400 N BEDELL AVE STE B
DEL RIO, TX
ZIP 78840
Phone: (915) 519-7074
Get Directions

CLINIC ON WHEELZ LLC is a multi-specialty clinic center in Del Rio, TX. CLINIC ON WHEELZ LLC NPI is 1114652575. The provider is registered as an organization entity type.

The provider's business location address is:

1400 N BEDELL AVE STE B
DEL RIO, TX
ZIP 78840-812
Phone: (915) 519-7074

The provider's authorized official is Aurelio Laing .
The authorized official title is Owner and has the following contact phone number (830) 461-2766.

The CLIA number assigned to this NPI record is 45D2264199 - other - mobile physician clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2022 and was last updated on 7/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1447847702	OTHER	TEXAS	BOARD OF NURSING
2	1730850587	OTHER	TEXAS	BOARD OF NURSING
3	1740312867	OTHER	TEXAS	TEXAS MEDICAL BOARD
4	1295269298	OTHER	TEXAS	BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »