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General NPI Number Information
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NPI Number | 1972227296
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE FAMILY CLINIC LLC
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5408 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-2711
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Country | US
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Telephone | 956-805-0153
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Fax | 956-805-0135
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Provider Business Mailing Address
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Address Line | 3218 LERMA DR
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City | EDINBURG
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State | TX
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Zip | 78539-4756
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Country | US
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Telephone | 956-805-0153
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Fax | 956-805-0135
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JENISE JOVAN GOMEZ
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Credential |
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Telephone | 956-803-0153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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