Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Infectious Disease |
207RI0200X | 11 | Physician/Internal Medicine | |
Infusion Therapy |
261QI0500X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Primary Care |
261QP2300X | |||
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1598580938 |
| LBN Legal business name | FAMILY HEALTHCARE MEDICAL GROUP INC |
| Authorized official | ALFREDO GOTERA AVILA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/20/2024 |
| Last updated | 11/21/2024 - More than a year ago |
| Identifiers | n/a |
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