HISPANO -AMERICAN FAMILY CLINIC LLC
NPI 1700350535
Clinic/Center in Houston, TX

Active since January 15, 2019CLIA 45D2176743 · Waiver
12779 JONES RD STE 109, HOUSTON, TX 77070(346) 206-3963(346) 206-3983 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Dec 17, 2019, Jan 15, 2019 (3 updates tracked since 2019).

About Hispano -american Family Clinic Llc NPPES

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

HISPANO -AMERICAN FAMILY CLINIC LLC (NPI 1700350535), doing business as Hispano American Family Clinic, is a healthcare organization registered as a clinic/center in Houston, Texas and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Lizandra Pereira Corzo, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1700350535
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHISPANO -AMERICAN FAMILY CLINIC LLC
Location Address12779 JONES RD STE 109Houston, TX 77070-4687
Mailing Address12779 Jones Rd Ste 109Houston, TX 77070-4687 · (346) 206-3963 · Fax (346) 206-3983
Fax(346) 206-3983
Organization SubpartNo
Authorized OfficialLizandra Pereira CorzoFnp-c · (346) 206-3963
Enumeration DateJanuary 15, 2019
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2019
✔ NPI 1700350535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Names 1

Former Legal Business NameHispano American Family Clinic

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)

Hispano -american Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hispano -American Family Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265904866
12779 JONES RD STE 109
Houston, TX 77070
(346) 206-3963
✔ PECOS

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 45D2176743

Hispano-American Family Clinic, LLC · Houston, TX
Active · expires Dec 22, 2027
CLIA Number45D2176743
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorLizandra Pereira Corzo
Laboratory Phone(346) 206-3963
Laboratory LocationHispano-American Family Clinic, LLC12779 Jones Road, Suire 109, Houston, TX 77070
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hispano -American Family Clinic LLC's NPI number?

The NPI number for Hispano -American Family Clinic LLC is 1700350535. It was assigned to this organization in the NPPES registry on January 15, 2019. The provider was formerly known as Hispano American Family Clinic.

Where is Hispano -American Family Clinic LLC located?

Hispano -American Family Clinic LLC is located at 12779 Jones Rd Ste 109, Houston, TX 77070. The listed phone number is (346) 206-3963.

What is Hispano -American Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Hispano -American Family Clinic LLC enrolled in Medicare?

Yes. Hispano -American Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hispano -American Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hispano -American Family Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hispano -American Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2176743) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hispano -American Family Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Hispano -American 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 Hispano -American Family Clinic LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.