Provider Demographics
NPI:1982121620
Name:TEXAN FAMILY CLINIC PLLC
Entity type:Organization
Organization Name:TEXAN FAMILY CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DANILO
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOYUMPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-951-9980
Mailing Address - Street 1:21518 ROAN BLF
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2671
Mailing Address - Country:US
Mailing Address - Phone:210-274-3667
Mailing Address - Fax:
Practice Address - Street 1:5230 DE ZAVALA RD STE 212
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1731
Practice Address - Country:US
Practice Address - Phone:210-951-9980
Practice Address - Fax:210-485-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty