| Your Family Healthcare, Llc | |
|
13230 Fm 1764 Rd Ste C Santa Fe TX 77510-9132 | |
| (409) 316-9085 | |
| (409) 316-9014 |
| Full Name | Your Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13230 Fm 1764 Rd Ste C, Santa Fe, Texas |
| Authorized Official Name and Position | Niki Hodges (CEO) |
| Authorized Official Contact | 4093169085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Healthcare, Llc 13230 Fm 1764 Rd Ste C Santa Fe TX 77510-9132 Ph: (409) 316-9085 | Your Family Healthcare, Llc 13230 Fm 1764 Rd Ste C Santa Fe TX 77510-9132 Ph: (409) 316-9085 |
| NPI Number | 1043757479 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 0941583207 |
|---|---|
| Medicare Enrollment ID | O20170210001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043757479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Niki M Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417201732 PECOS PAC ID: 0547407751 Enrollment ID: I20130507000617 |
| Provider Name | Crystal Fewox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326406695 PECOS PAC ID: 0446559108 Enrollment ID: I20160502000217 |
| Provider Name | Kristen Leanne Mabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699243766 PECOS PAC ID: 1052651007 Enrollment ID: I20190329000304 |
| Provider Name | Karen Colleen Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477044253 PECOS PAC ID: 6507195021 Enrollment ID: I20190909003736 |
| Provider Name | Colleen Ann Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952950099 PECOS PAC ID: 1254768476 Enrollment ID: I20200228001428 |
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