CLINICA FAMILIAR BANDERA LLC
NPI 1457273203
Clinic/Center - Primary Care in San Antonio, TX
About Clinica Familiar Bandera Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA FAMILIAR BANDERA LLC (NPI 1457273203), doing business as Proactive Clinic, is a healthcare organization registered as a primary care in San Antonio, Texas and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Andy Raul Manzano Matos, Ceo / Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 45D2349457
Clinica Familiar Bandera LLC · San Antonio, 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 Clinica Familiar Bandera LLC's NPI number?
The NPI number for Clinica Familiar Bandera LLC is 1457273203. It was assigned to this organization in the NPPES registry on July 25, 2026. The provider is doing business as Proactive Clinic.
Where is Clinica Familiar Bandera LLC located?
Clinica Familiar Bandera LLC is located at 8103 Bandera Rd Ste 102, San Antonio, TX 78250. The listed phone number is (210) 500-2914.
What is Clinica Familiar Bandera LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Clinica Familiar Bandera LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2349457) is associated with this NPI, valid through August 20, 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 Clinica Familiar Bandera LLC was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Clinica Familiar Bandera Llc · NPI 1457273203
Primary Care organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since July 25, 2026.
## Identity
- **NPI:** 1457273203 (Entity type: Organization)
- **Enumerated:** July 25, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Proactive Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andy Manzano Matos, CEO / MANAGING MEMBER
## Practice location
- **Address:** 8103 BANDERA RD STE 102, San Antonio, TX 78250-5185
- **Phone:** (210) 500-2914
## Record status
- **NPPES last updated:** July 25, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457273203) · Data from the CMS NPPES public registry.