Clinica de la Familia Hispana Ebenezer LLC
NPI 1003660895ActiveOrganization· Nurse Practitioner, Family· Bedford, TX
Nurse Practitioner, Family in Bedford, Texas, registered in NPPES in April 2024. The authorized official on file is Addel Castellanos Matos, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003660895 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2024 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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