NPIMap

Organization Active NPI

Nisal Corp.

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1003100660
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
9330 Issued in TX
Legal business name
NISAL CORP.
Practice address
10934 East Fwy
Houston, TX 77029-1959
Phone
(713) 450-2838
Fax
(713) 450-2843
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carmen L. Manzo
Title
Credentialing Coordinator
Phone
(713) 378-0667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 9330 TX
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 9330 TX Primary

Addresses

Primary practice location

10934 East Fwy
Houston, TX 77029-1959

Mailing address

PO Box 24809
Houston, TX 77229-4809
Phone (713) 378-0667

Other names 1

  • QUALCARE REHABILITATION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nisal Corp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1003100660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24809",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772294809",
            "telephone_number": "713-378-0667",
            "fax_number": "713-300-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10934 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770291959",
            "telephone_number": "713-450-2838",
            "fax_number": "713-450-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "713-378-0667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9330",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "9330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALCARE REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.