MEDICINE CLINIC NPI 1013259811

NPI Information

  • NPI: 1013259811
  • Provider Name: MEDICINE CLINIC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 45D0938077
  • Address: 9963A ALAMEDA AVE
    SOCORRO, TX
    ZIP 79927
  • Phone: (915) 872-0477

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NPI Details

MEDICINE CLINIC is a family nurse practitioner in Socorro, TX. MEDICINE CLINIC NPI is 1013259811. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9963A ALAMEDA AVE
SOCORRO, TX
ZIP 79927-963
Phone: (915) 872-0477
Fax: (915) 872-0484

The provider's authorized official is Adrian O. Ugarte .
The authorized official title is Owner/medical Director and has the following contact phone number (915) 872-0477.

The CLIA number assigned to this NPI record is 45D0938077 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 3/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineJ6784TEXASNo
2363LF0000XNurse PractitionerFamily534465TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G08733MEDICARE UPINTEXAS
2127013402MEDICAIDTEXAS
300T21FMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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