Lago Mar Medical Clinic LLC
NPI 1063055820 · Primary Care Nurse Practitioner · Texas City, TX
Lago Mar Medical Clinic LLC is a Primary Care Nurse Practitioner organization in Texas City, TX (NPI 1063055820).
Provider details
- NPI number
- 1063055820
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Abiola Opabunmi, Np/Owner(409) 944-8513
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Occupational Health Nurse Practitioner363LX0106X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1110 Calder Ave Ste 135Beaumont, TX 77701-1777Phone: (409) 944-8513Fax: (409) 299-3773
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Lago Mar Medical Clinic LLC's NPI number?
- Lago Mar Medical Clinic LLC's National Provider Identifier (NPI) is 1063055820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lago Mar Medical Clinic LLC?
- Lago Mar Medical Clinic LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lago Mar Medical Clinic LLC located?
- Lago Mar Medical Clinic LLC's practice location on file with NPPES is 2709 Palmer Hwy, Texas City, TX 77590-6929.
- What is Lago Mar Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Lago Mar Medical Clinic LLC is (409) 944-8513.
- Who is the authorized official for Lago Mar Medical Clinic LLC?
- The authorized official listed on Lago Mar Medical Clinic LLC's NPPES record is Abiola Opabunmi, Np/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lago Mar Medical Clinic LLC's NPI active?
- Yes — Lago Mar Medical Clinic LLC's NPI (1063055820) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.