| NPI | 1053464982 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-22 |
| Last Updated | 2022-08-25 |
| Authorized Official | Cathy Donahy Office Manager Phone: 8309970330 |
| Mailing Address | 514 W Windcrest St Fredericksburg, TX 78624-4633 United States Phone: (830) 997-0330 📍 View Map |
| Primary Practice Address | 815 Front St Comfort, TX 78013 United States Phone: (830) 995-5633 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TX | 0009QH | BCBSTX |
| Other (non-Medicare) | TX | 189877702 | Medicaid EPSDT |
| MEDICAID | TX | 189877703 | — |
| Other (non-Medicare) | TX | DG7779 | Medicare Railroad |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | — | — |
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About NPI 1053464982
Fredericksburg Family Clinic Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1053464982. The primary specialty listed is Family Medicine. The organization is located in Comfort, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053464982?
NPI 1053464982 belongs to Fredericksburg Family Clinic Pa, a Family Medicine in Comfort, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053464982 active?
The current status of NPI 1053464982 in the NPPES registry is Active. The record was last updated on 2022-08-25.
What specialty is NPI 1053464982?
NPI 1053464982 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053464982?
You can verify NPI 1053464982 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053464982?
The primary practice address on file for NPI 1053464982 is 815 Front St, Comfort, TX 78013. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053464982 issued?
NPI 1053464982 was first issued (enumerated) on 2007-01-22. The NPPES record was last updated on 2022-08-25.
Practice Location Map
Fredericksburg Family Clinic Pa is located at 815 Front St, Comfort, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fredericksburg Family Clinic Pa. All records sourced from the CMS NPPES registry.