RED RIVER FAMILY CLINIC LLC
NPI 1578330452
Clinic/Center - Primary Care in Victoria, TX

Active since December 11, 2023CLIA 45D2330263 · Waiver
115 MEDICAL DR STE 101, VICTORIA, TX 77904(361) 355-8202(361) 355-8204 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Oct 3, 2024, Jul 29, 2024 and 2 more (5 updates tracked since 2023).

About Red River Family Clinic Llc NPPES

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

RED RIVER FAMILY CLINIC LLC (NPI 1578330452) is a healthcare organization registered as a primary care in Victoria, Texas and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027, maintains a secondary practice location in Victoria, and lists Matthew Read, Owner, as its authorized official.

NPPES Registry Identity

NPI1578330452
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRED RIVER FAMILY CLINIC LLC
Location Address115 MEDICAL DR STE 101Victoria, TX 77904-3105
Mailing Address2129 Fm 2920 Rd # 190-279Spring, TX 77388-3671 · (361) 355-8202 · Fax (361) 355-8204
Fax(361) 355-8204
Organization SubpartNo
Authorized OfficialMatthew ReadOwner · (361) 355-8202
Enumeration DateDecember 11, 2023
Last NPPES UpdateJune 18, 20255 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1578330452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
115 MEDICAL DR STE 101, Victoria, TX 77904

Secondary Practice Location 1

Location 11412 E Red River StVictoria, TX 77901-5521 · Phone (361) 333-2221 · Fax (361) 333-2224

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 45D2330263

Red River Family Clinic LLC · Victoria, TX
Active · expires Sep 11, 2027
CLIA Number45D2330263
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorRose Goehring
Laboratory Phone(361) 355-8202
Laboratory LocationRed River Family Clinic LLC115 Medical Drive, Ste 101, Victoria, TX 77904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
115 MEDICAL DR STE 101
VICTORIA, TX 77904
Clinic/Center
115 MEDICAL DR STE 101
VICTORIA, TX 77904
General Practice
115 MEDICAL DR STE 101
VICTORIA, TX 77904
Family Medicine
115 MEDICAL DR STE 101
VICTORIA, TX 77904

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 Red River Family Clinic LLC's NPI number?

The NPI number for Red River Family Clinic LLC is 1578330452. It was assigned to this organization in the NPPES registry on December 11, 2023.

Where is Red River Family Clinic LLC located?

Red River Family Clinic LLC is located at 115 Medical Dr Ste 101, Victoria, TX 77904. The listed phone number is (361) 355-8202.

What is Red River Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Red River Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2330263) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Red River Family Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Red River Family Clinic LLC 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 Red River Family Clinic LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.