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MIDTOWN FAMILY MEDICINE NPI 1831146794


NPI Information

NPI: 1831146794
Provider Name: MIDTOWN FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1031737

Address:
548 WAUGH DR
HOUSTON, TX
ZIP 77019
Phone: (713) 933-0501
Get Directions

MIDTOWN FAMILY MEDICINE 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. MIDTOWN FAMILY MEDICINE NPI is 1831146794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

548 WAUGH DR
HOUSTON, TX
ZIP 77019-002
Phone: (713) 933-0501
Fax: (713) 933-0505

The provider's authorized official is Rolando R Maldonado .
The authorized official title is Partner and has the following contact phone number (713) 933-0501.

The CLIA number assigned to this NPI record is 45D1031737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/4/2010.


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
1207Q00000XFamily 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
18C0723MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2167394901MEDICAIDTEXAS
3167392302MEDICAIDTEXAS

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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