CONSULTORIO GENERAL HISPANO
NPI 1528642402
Nurse Practitioner - Family in Grand Prairie, TX

Active since May 07, 2021CLIA 45D2243722 · Waiver
2502 S BELT LINE RD STE 400, GRAND PRAIRIE, TX 75052(214) 347-3619 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 22, 2025, May 9, 2023, May 7, 2021 (3 updates tracked since 2021).

About Consultorio General Hispano NPPES

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

CONSULTORIO GENERAL HISPANO (NPI 1528642402) is a healthcare organization registered as a family in Grand Prairie, Texas and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Antonio Brizuela, Provider, as its authorized official.

NPPES Registry Identity

NPI1528642402
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCONSULTORIO GENERAL HISPANO
Location Address2502 S BELT LINE RD STE 400Grand Prairie, TX 75052-5398
Mailing Address2502 S Belt Line Rd Ste 400Grand Prairie, TX 75052-5398 · (214) 347-3619
Organization SubpartNo
Authorized OfficialAntonio BrizuelaProvider · (214) 497-7346
Enumeration DateMay 7, 2021
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1528642402 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
2502 S BELT LINE RD STE 400, Grand Prairie, TX 75052

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

Accepted Insurance

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 45D2243722

Consultorio General Hispano · Grand Prairie, TX
Active · expires Nov 21, 2027
CLIA Number45D2243722
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorAntonio Brizuela
Laboratory Phone(214) 518-6988
Laboratory LocationConsultorio General Hispano2502 S Belt Line Rd Suite 400, Grand Prairie, TX 75052
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2502 S BELT LINE RD STE 400
GRAND PRAIRIE, TX 75052

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 Consultorio General Hispano's NPI number?

The NPI number for Consultorio General Hispano is 1528642402. It was assigned to this organization in the NPPES registry on May 7, 2021.

Where is Consultorio General Hispano located?

Consultorio General Hispano is located at 2502 S Belt Line Rd Ste 400, Grand Prairie, TX 75052. The listed phone number is (214) 347-3619.

What is Consultorio General Hispano's specialty?

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

Does Consultorio General Hispano hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2243722) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Consultorio General Hispano 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 and 2 other insurers list Consultorio General Hispano 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 Consultorio General Hispano was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.