South Houston Medical & Rehab Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH HOUSTON MEDICAL & REHAB CLINIC

Practice address

8729 Gulf Fwy
Houston, TX 77017-6504

Phone

(713) 636-2590

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Charletta Anderson

Title

Administrator

Phone

(713) 636-2590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1003198011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176504",
            "telephone_number": "713-636-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8729 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176504",
            "telephone_number": "713-636-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOUSTON MEDICAL & REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-636-2590"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South East Surgi-Center Inc
• South East Texas Post Acute Care Specialists Inc
• South Gessner Dialysis Facility
• South Hampton Medical Imaging, LLC
• South Houston Chiropractic LLC
• South Houston Mint Dentistry, PLLC
• South Houston Momentum PLLC
• South Lake Houston Emergency Medical Services
• South Limestone Hospital District
• South Limestone Hospital District

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.