FAMILY MEDICINE CLINIC PLLC
NPI 1417767385
Family Medicine in Farmers Branch, TX
About Family Medicine Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE CLINIC PLLC (NPI 1417767385) is a healthcare organization registered as a family medicine in Farmers Branch, Texas and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Humberto Lopez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medicine Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Medicine Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Farmers Branch, TX 75234
Farmers Branch, TX 75234
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 45D2331248
Family Medicine Clinic PLLC · Farmers Branch, TXFrequently 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 Family Medicine Clinic PLLC's NPI number?
The NPI number for Family Medicine Clinic PLLC is 1417767385. It was assigned to this organization in the NPPES registry on January 13, 2025.
Where is Family Medicine Clinic PLLC located?
Family Medicine Clinic PLLC is located at 10 Medical Pkwy Ste 208, Farmers Branch, TX 75234. The listed phone number is (972) 243-9607.
What is Family Medicine Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Medicine Clinic PLLC enrolled in Medicare?
Yes. Family Medicine Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medicine Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Family Medicine Clinic 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medicine Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2331248) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Medicine Clinic PLLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Family Medicine Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Family Medicine Clinic PLLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Family Medicine Clinic Pllc · NPI 1417767385
Family Medicine organization in Farmers Branch, Texas. Organization record, active in the CMS NPPES registry since January 13, 2025.
## Identity
- **NPI:** 1417767385 (Entity type: Organization)
- **Enumerated:** January 13, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Humberto Lopez, PRESIDENT
## Practice location
- **Address:** 10 MEDICAL PKWY STE 208, Farmers Branch, TX 75234-7845
- **Phone:** (972) 243-9607 · **Fax:** (972) 488-3323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417767385) · Data from the CMS NPPES public registry.