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LYTLE FAMILY PRACTICE PA
NPI 1790870327
Family Medicine in Lytle, TX

Active since October 03, 2006CLIA 45D0992887 · Waiver
19432 DAVIS ST, LYTLE, TX 78052(830) 709-9960 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lytle Family Practice Pa NPPES

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

LYTLE FAMILY PRACTICE PA (NPI 1790870327) is a healthcare organization registered as a family medicine in Lytle, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Glendon Saldivar Hack, President, as its authorized official.

NPPES Registry Identity

NPI1790870327
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLYTLE FAMILY PRACTICE PA
Location Address19432 DAVIS STLytle, TX 78052-1601
Mailing AddressPo Box 324Von Ormy, TX 78073-0324 · (830) 709-9960 · Fax (830) 709-9962
Phone(830) 709-9960
Organization SubpartNo
Authorized OfficialGlendon Saldivar HackPresident · (830) 709-9960
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790870327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K7753
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.
19432 DAVIS ST, Lytle, TX 78052
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Other Identifiers 1

Other0057NCTX · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D0992887

Lytle Family Practice · Lytle, TX
Active · expires Oct 28, 2027
CLIA Number45D0992887
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorGlendon S. Hack
Laboratory Phone(830) 109-9960
Laboratory LocationLytle Family Practice19432 Davis Street, Lytle, TX 78052
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.

DR. GLENDON SALDIVAR HACK MD
Family Medicine
19432 DAVIS ST
LYTLE, TX 78052
Atascosa County (830) 709-9960

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 Lytle Family Practice PA's NPI number?

The NPI number for Lytle Family Practice PA is 1790870327. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Lytle Family Practice PA located?

Lytle Family Practice PA is located at 19432 Davis St, Lytle, TX 78052. The listed phone number is (830) 709-9960.

What is Lytle Family Practice PA's specialty?

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

Does Lytle Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0992887) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lytle Family Practice PA 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 list Lytle Family Practice 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 Lytle Family Practice PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.