Provider Demographics
NPI:1013995273
Name:FAMILY PHYSICIANS CLINIC LLP
Entity Type:Organization
Organization Name:FAMILY PHYSICIANS CLINIC LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CAYETANO
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:956-682-4515
Mailing Address - Street 1:606 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4906
Mailing Address - Country:US
Mailing Address - Phone:956-682-4515
Mailing Address - Fax:956-682-4143
Practice Address - Street 1:606 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4906
Practice Address - Country:US
Practice Address - Phone:956-682-4515
Practice Address - Fax:956-682-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100907802Medicaid
TX084913501Medicaid
TX100908602Medicaid
TX100906001Medicaid
TX115875001Medicaid
TX100906001Medicaid
TX806593Medicare ID - Type UnspecifiedRIVAS
TX100908602Medicaid
TXC16360Medicare UPIN
TX806592Medicare ID - Type UnspecifiedBARRERA
TX100907802Medicaid
TXB21099Medicare UPIN
TX806598Medicare ID - Type UnspecifiedMORENO
TX115875001Medicaid