1. Home
  2. Directory
  3. Texas
  4. Longview
  5. Family Medicine
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RUSTIC ROOTS FAMILY CARE PLLC
NPI 1124934948
Family Medicine in Longview, TX

Active since August 21, 2026
1328 HERITAGE BLVD, LONGVIEW, TX 75605(512) 952-2894 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rustic Roots Family Care Pllc NPPES

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

RUSTIC ROOTS FAMILY CARE PLLC (NPI 1124934948) is a healthcare organization registered as a family medicine in Longview, Texas and active in the NPI registry since August 2026. The organization lists Carl Cini, President, as its authorized official.

NPPES Registry Identity

NPI1124934948
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRUSTIC ROOTS FAMILY CARE PLLC
Location Address1328 HERITAGE BLVDLongview, TX 75605-1472
Mailing AddressPo Box 162White Oak, TX 75693-0162 · (512) 952-2894
Phone(512) 952-2894
Organization SubpartNo
Authorized OfficialCarl CiniPresident · (512) 952-2894
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1124934948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1328 HERITAGE BLVD, Longview, TX 75605
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATONYA POLK
Clinical Nurse Specialist (Psychiatric/Mental Health)
1328 HERITAGE BLVD
LONGVIEW, TX 75605
Gregg County (902) 260-0412

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 Rustic Roots Family Care PLLC's NPI number?

The NPI number for Rustic Roots Family Care PLLC is 1124934948. It was assigned to this organization in the NPPES registry on August 21, 2026.

Where is Rustic Roots Family Care PLLC located?

Rustic Roots Family Care PLLC is located at 1328 Heritage Blvd, Longview, TX 75605. The listed phone number is (512) 952-2894.

What is Rustic Roots Family Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Rustic Roots Family Care PLLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.