Organization · Type 2 NPI

Southern Roots Family Care

Primary Care Clinic/Center · Troup, TX

NPI number 1891487070 Active

Practice location

400 W. Calvert St , Unit C
Troup, TX 75789

Call (903) 969-5056 Map

Mailing address

PO Box 59, 400 W. Calvert St, Unit C
Troup, TX 75789-0059

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1891487070
Entity type: Organization (Type 2)
Issued: May 24, 2023
Last updated: Apr 21, 2026
Status: Active
Subpart: Yes of McClure Healthcare, PLLC

Other names

<unavail>
Southern Roots Family Care · doing business as
Southern Roots Family Care · doing business as

Authorized official

Stephanie McClure
Fnp-C
(903) 969-5056

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1891487070

Southern Roots Family Care's National Provider Identifier is 1891487070, issued on May 24, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Troup, TX. The record was last updated on Apr 21, 2026.