SU CLINICA FAMILIAR
NPI 1205384138
Family Medicine in Garland, TX

Q: What is Rjb Clinica Familiar, PLLC's NPI number?

The NPI number for Rjb Clinica Familiar, PLLC is 1205384138. It was assigned to this organization in the NPPES registry on September 20, 2016. The provider is doing business as Su Clinica Familiar.

Q: What is Rjb Clinica Familiar, PLLC's specialty?

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

Active since September 20, 2016CLIA 45D2123024 · Waiver

315 N SHILOH RD STE 102, GARLAND, TX 75042(469) 688-8523(469) 458-9121 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2020, Sep 20, 2016 (2 updates tracked since 2016).

On this page

About Su Clinica Familiar NPPES

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

SU CLINICA FAMILIAR (NPI 1205384138) is a healthcare organization registered as a family medicine in Garland, Texas and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Jacqueline Balarbar, President, as its authorized official.

NPPES Registry Identity

NPI1205384138

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRJB CLINICA FAMILIAR, PLLC

Location Address315 N SHILOH RD STE 102Garland, TX 75042-5783

Mailing Address7417 Sugarbush DrGarland, TX 75044-2633 · (469) 688-8523 · Fax (469) 458-9121

Phone(469) 688-8523

Fax(469) 458-9121

Organization SubpartNo

Authorized OfficialJacqueline BalarbarPresident · (469) 688-8523

Enumeration DateSeptember 20, 2016

Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1205384138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

315 N SHILOH RD STE 102, Garland, TX 75042

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Other Names 1

Doing Business AsSu Clinica Familiar

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Clinica Familiar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Su Clinica Familiar, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Balarbar, FNP-C

Nurse Practitioner

NPI 1639418239

315 N SHILOH RD STE 102
Garland, TX 75042

(972) 205-0440

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2123024

Su Clinica Familiar · Garland, TX

Active · expires Dec 11, 2026

CLIA Number45D2123024

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorAnila I. Khan

Laboratory Phone(972) 205-0440

Laboratory LocationSu Clinica Familiar315 N Shiloh Rd Suite 103, Garland, TX 75042

CLIA data matches this NPI record on: Name

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 Rjb Clinica Familiar, PLLC's NPI number?

The NPI number for Rjb Clinica Familiar, PLLC is 1205384138. It was assigned to this organization in the NPPES registry on September 20, 2016. The provider is doing business as Su Clinica Familiar.

Where is Rjb Clinica Familiar, PLLC located?

Rjb Clinica Familiar, PLLC is located at 315 N Shiloh Rd Ste 102, Garland, TX 75042. The listed phone number is (469) 688-8523.

What is Rjb Clinica Familiar, PLLC's specialty?

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

Is Rjb Clinica Familiar, PLLC enrolled in Medicare?

Yes. Rjb Clinica Familiar, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rjb Clinica Familiar, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rjb Clinica Familiar, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rjb Clinica Familiar, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2123024) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rjb Clinica Familiar, PLLC was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.