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MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE NPI 1386689958


NPI Information

NPI: 1386689958
Provider Name: MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE

Other Name: PROFESSIONAL ORGANIZATION

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2900 SMITH ST
STE 101
HOUSTON, TX
ZIP 77006
Phone: (713) 655-1006
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MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE is a pediatrics in Houston, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE NPI is 1386689958. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Professional Organization.

The provider's business location address is:

2900 SMITH ST
STE 101
HOUSTON, TX
ZIP 77006-446
Phone: (713) 655-1006
Fax: (713) 571-9630

The provider's authorized official is Gwendolyn Elizabeth Brobbey .
The authorized official title is Physician/owner/pres.of Corporation and has the following contact phone number (713) 655-1006.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsG0899TEXASYes

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
1BB1429148OTHERFEDERAL DEA NUMBER
231381OTHERAMERICAN BD OF PEDIATRICS
3S0045716OTHERTEXASSTATE DPS NUMBER
4G0899OTHERTEXASST. BD OF MED EXAMINERS
5236-282-0OTHERECFMG NUMBER
648268OTHERMASSACHUSETTSMASS BD OF REGISTRATION

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: 11/14/2023

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