Organization Active NPI

Precision Mind and Body

  • Family Medicine Physician
  • Dickinson, TX
National Provider Identifier
1013751650
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRECISION MIND AND BODY
Practice address
1535 FM 646 Rd W
Dickinson, TX 77539-3395
Phone
(281) 201-4150
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Jason Gukhool, MD
Title
Owner
Phone
(281) 201-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1535 FM 646 Rd W
Dickinson, TX 77539-3395

Mailing address

1535 FM 646 Rd W
Dickinson, TX 77539-3395
Phone (281) 201-4150

National Provider Directory

National Provider Directory

Locations

1535 FM 646 Rd W
Dickinson, TX 77539
Phone (281) 201-4150

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1013751650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 FM 646 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393395",
            "telephone_number": "281-201-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 FM 646 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393395",
            "telephone_number": "281-201-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "GUKHOOL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-201-4150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.