MEDAGENE CLINIC P.A. NPI 1437194685

NPI Information

NPI: 1437194685
Provider Name: MEDAGENE CLINIC , P.A.

Former Legal Business Name: MEDAGENE CLINIC , P.A.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6655 HILLCROFT ST
SUITE 105
HOUSTON, TX
ZIP 77081
Phone: (713) 779-1633
Get Directions

MEDAGENE CLINIC , P.A. 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. MEDAGENE CLINIC , P.A. NPI is 1437194685. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Medagene Clinic , P.a..

The provider's business location address is:

6655 HILLCROFT ST
SUITE 105
HOUSTON, TX
ZIP 77081-815
Phone: (713) 779-1633
Fax: (713) 995-5914

The provider's authorized official is Gonzalo Uribebotero .
The authorized official title is Owner and has the following contact phone number (713) 779-1633.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/5/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	E1956	TEXAS	No
2	208000000X	Pediatrics		E1956	TEXAS	No
3	207Q00000X	Family Medicine		E1956	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45D0965514	OTHER	TEXAS	CLIA
2	137927302	MEDICAID	TEXAS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »