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TEXAS FAMILY DOCTOR, P.A.
NPI 1629714860
Family Medicine in Crockett, TX

Active since May 10, 2022CLIA 45D2274894 · Waiver
951 E LOOP 304, CROCKETT, TX 75835(936) 655-0500 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, May 10, 2022 (2 updates tracked since 2022).

About Texas Family Doctor, P.a. NPPES

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

TEXAS FAMILY DOCTOR, P.A. (NPI 1629714860) is a healthcare organization registered as a family medicine in Crockett, Texas and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through January 11, 2027, maintains a secondary practice location in Crockett, and lists Michael Reilly Mcleod, Owner, as its authorized official.

NPPES Registry Identity

NPI1629714860
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTEXAS FAMILY DOCTOR, PA
Location Address951 E LOOP 304Crockett, TX 75835-5403
Mailing AddressPo Box 627Crockett, TX 75835-0627 · (936) 655-0500
Phone(936) 655-0500
Organization SubpartNo
Authorized OfficialMichael Reilly McleodOwner · (936) 655-0500
Enumeration DateMay 10, 2022
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1629714860 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.
951 E LOOP 304, Crockett, TX 75835
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Other Names 1

Doing Business AsTexas Family Doctor, P.a.

Secondary Practice Location 1

Location 11122 E Loop 304Crockett, TX 75835-1810 · Phone (936) 655-0500

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 45D2274894

Texas Family Doctor, PA · Crockett, TX
Active · expires Jan 11, 2027
CLIA Number45D2274894
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorMichael R. Mcleod
Laboratory Phone(936) 655-0500
Laboratory LocationTexas Family Doctor, PA1122 E Loop 304, Crockett, TX 75835
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 2

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

MICHAEL R MCLEOD M.D.
Family Medicine
951 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 655-0500
CHILDREN'S CLINIC OF CROCKETT
Pediatrics
951 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 634-2214

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 Texas Family Doctor, PA's NPI number?

The NPI number for Texas Family Doctor, PA is 1629714860. It was assigned to this organization in the NPPES registry on May 10, 2022. The provider is doing business as Texas Family Doctor, P.A..

Where is Texas Family Doctor, PA located?

Texas Family Doctor, PA is located at 951 E Loop 304, Crockett, TX 75835. The listed phone number is (936) 655-0500.

What is Texas Family Doctor, PA's specialty?

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

Does Texas Family Doctor, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2274894) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas Family Doctor, PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Texas Family Doctor, PA 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 Texas Family Doctor, PA was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.