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MEDIZINE HEALTH PLLC
NPI 1124853502
Nurse Practitioner - Family in Pharr, TX

Active since September 04, 2024CLIA 45D2340711 · Waiver
1104 W SAM HOUSTON BLVD STE B, PHARR, TX 78577(956) 215-5164 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Sep 4, 2024 (2 updates tracked since 2024).

About Medizine Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIZINE HEALTH PLLC (NPI 1124853502) is a healthcare organization registered as a family in Pharr, Texas and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Estela Rios, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124853502
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMEDIZINE HEALTH PLLC
Location Address1104 W SAM HOUSTON BLVD STE BPharr, TX 78577-5104
Mailing Address1104 W Sam Houston Blvd Ste BPharr, TX 78577-5104 · (956) 215-5164
Phone(956) 215-5164
Organization SubpartNo
Authorized OfficialEstela RiosNurse Practitioner · (956) 215-5164
Enumeration DateSeptember 4, 2024
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1124853502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1104 W SAM HOUSTON BLVD STE B, Pharr, TX 78577
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Other Names 1

Doing Business AsMedizine Health Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2340711

Medizine Health PLLC · Pharr, TX
Active · expires Mar 19, 2028
CLIA Number45D2340711
Laboratory TypePractitioner Other
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorNguyen Su
Laboratory Phone(956) 215-5164
Laboratory LocationMedizine Health PLLC1201 S Jackson Ste 12, Pharr, TX 78577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medizine Health PLLC's NPI number?

The NPI number for Medizine Health PLLC is 1124853502. It was assigned to this organization in the NPPES registry on September 4, 2024.

Where is Medizine Health PLLC located?

Medizine Health PLLC is located at 1104 W Sam Houston Blvd Ste B, Pharr, TX 78577. The listed phone number is (956) 215-5164.

What is Medizine Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Medizine Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2340711) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medizine Health PLLC was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.