CT Pediatric Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009827 Issued in TX

Legal business name

CT PEDIATRIC SERVICES

Practice address

10103 Fondren Rd
500
Houston, TX 77096-4556

Phone

(713) 484-5122

Fax

(281) 768-7911

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Olugbemisola Olaoye, RN, MBA

Title

Owner/Admin

Phone

(713) 484-5122

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1003909763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD",
            "address_2": "500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964665",
            "telephone_number": "713-484-5122",
            "fax_number": "281-768-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD",
            "address_2": "500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964556",
            "telephone_number": "713-484-5122",
            "fax_number": "281-768-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "OLAOYE",
        "authorized_official_first_name": "OLUGBEMISOLA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "713-484-5122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175663701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.