MEDICARE: FAMILY HEALTH CENTER LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	261QR1300X	Rural Health Clinic/Center		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750304846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CENTER LLP

Provider Business Mailing Address
First Line	:	2768 PHARMACY RD
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6201
Country	:	US
Telephone Number	:	956-487-5621
Fax Number	:	956-487-5862

Provider Business Practice Location Address
First Line	:	2768 PHARMACY RD
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6201
Country	:	US
Telephone Number	:	956-487-5621
Fax Number	:	956-487-5862

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AIDA SOZA
Credential	:	CRHCP, CMOM, CMC
Telephone Number	:	956-487-5621

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/05/2023

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Directions to “FAMILY HEALTH CENTER LLP ” Practice Location

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