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CLINIC OF THE EAST END ASSOCIATION NPI 1235372467


NPI Information

NPI: 1235372467
Provider Name: CLINIC OF THE EAST END ASSOCIATION

Doing Business As: EAST END MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0490054

Address:
906 WAYSIDE DR
HOUSTON, TX
ZIP 77011
Phone: (713) 923-6627
Get Directions

CLINIC OF THE EAST END ASSOCIATION is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLINIC OF THE EAST END ASSOCIATION NPI is 1235372467. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As East End Medical Clinic.

The provider's business location address is:

906 WAYSIDE DR
HOUSTON, TX
ZIP 77011-518
Phone: (713) 923-6627
Fax: (713) 923-9383

The provider's authorized official is Chandralatha Thota .
The authorized official title is Medical Officer and has the following contact phone number (713) 923-6627.

The CLIA number assigned to this NPI record is 45D0490054 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2009 and was last updated on 10/2/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1082252001MEDICAIDTEXAS
2214554201MEDICAIDTEXAS
3214554202MEDICAIDTEXAS

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: 4/28/2024

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