Organization Active NPI

DPMC LLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1003154063
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DPMC LLC
Practice address
2630 Fountain View Dr
Suite 409
Houston, TX 77057-7608
Phone
(713) 588-1425
Fax
(713) 588-1424
NPI assigned
Jan 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2013

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

Authorized official

Name
Gary Kraft
Title
Director
Phone
(713) 588-1425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X TX Primary

Addresses

Primary practice location

2630 Fountain View Dr
Suite 409
Houston, TX 77057-7608

Mailing address

2630 Fountain View Dr
Suite 409
Houston, TX 77057-7608
Phone (713) 588-1425

Other names 1

  • MENS CLINICS OF AMERICA Doing business as

National Provider Directory

National Provider Directory

Locations

2630 Fountain View Dr
Ste 409
Houston, TX 77057
Phone (713) 588-1425

NPI Registry JSON

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1003154063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 FOUNTAIN VIEW DR",
            "address_2": "SUITE 409",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577608",
            "telephone_number": "713-588-1425",
            "fax_number": "713-588-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 FOUNTAIN VIEW DR",
            "address_2": "SUITE 409",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577608",
            "telephone_number": "713-588-1425",
            "fax_number": "713-588-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-588-1425"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENS CLINICS OF AMERICA",
            "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 Jan 26, 2013; 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.