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FAIRGROUNDS FAMILY CLINIC PLLC NPI 1447857255


NPI Information

NPI: 1447857255
Provider Name: FAIRGROUNDS FAMILY CLINIC PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2268148

Address:
300 SHORT ST.
LA FERIA, TX
ZIP 78559
Phone: (956) 277-0113
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FAIRGROUNDS FAMILY CLINIC PLLC is a primary care clinic center in La Feria, TX. FAIRGROUNDS FAMILY CLINIC PLLC NPI is 1447857255. The provider is registered as an organization entity type.

The provider's business location address is:

300 SHORT ST.
LA FERIA, TX
ZIP 78559
Phone: (956) 277-0113
Fax: (956) 277-0674

The provider's authorized official is Marlon Monayao .
The authorized official title is Np, Co- Owner and has the following contact phone number (956) 622-0554.

The CLIA number assigned to this NPI record is 45D2268148 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 3/29/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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.