NACOGDOCHES FAMILY CLINIC LLC
NPI 1942803341
Nurse Practitioner - Family in San Antonio, TX

Active since November 18, 2020CLIA 45D2200583 · Waiver
12521 NACOGDOCHES RD STE 101, SAN ANTONIO, TX 78217(210) 634-7814(210) 634-7815 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nacogdoches Family Clinic Llc NPPES

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

NACOGDOCHES FAMILY CLINIC LLC (NPI 1942803341), doing business as Clinica Familiar Nacogdoches, is a healthcare organization registered as a family in San Antonio, Texas and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Yordanis Rafael Fonseca Vega, Owner, as its authorized official.

NPPES Registry Identity

NPI1942803341
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNACOGDOCHES FAMILY CLINIC LLC
Location Address12521 NACOGDOCHES RD STE 101San Antonio, TX 78217-2117
Mailing Address12521 Nacogdoches Rd Ste 101San Antonio, TX 78217-2117 · (210) 634-7814 · Fax (210) 634-7815
Fax(210) 634-7815
Organization SubpartNo
Authorized OfficialYordanis Rafael Fonseca VegaOwner · (512) 909-7332
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1942803341 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
12521 NACOGDOCHES RD STE 101, San Antonio, TX 78217

Other Names 1

Doing Business AsClinica Familiar Nacogdoches

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

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 45D2200583

Nacogdoches Family Clinica, LLC · San Antonio, TX
Active · expires Nov 15, 2026
CLIA Number45D2200583
Laboratory TypePractitioner Other
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorYordanis Rafael Fonseca Vega
Laboratory Phone(210) 634-7814
Laboratory LocationNacogdoches Family Clinica, LLC12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217
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

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

Nurse Practitioner (Family)
12521 NACOGDOCHES RD STE 101
SAN ANTONIO, TX 78217

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 Nacogdoches Family Clinic LLC's NPI number?

The NPI number for Nacogdoches Family Clinic LLC is 1942803341. It was assigned to this organization in the NPPES registry on November 18, 2020. The provider is doing business as Clinica Familiar Nacogdoches.

Where is Nacogdoches Family Clinic LLC located?

Nacogdoches Family Clinic LLC is located at 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217. The listed phone number is (210) 634-7814.

What is Nacogdoches Family Clinic LLC's specialty?

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

Does Nacogdoches Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2200583) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nacogdoches Family Clinic LLC accept?

Health plans from WellPoint list Nacogdoches 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 Nacogdoches Family Clinic LLC was last updated on November 18, 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.