Organization Active NPI

Second Silhouette, Inc

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1023184884
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SECOND SILHOUETTE, INC
Practice address
13144 Memorial Dr
Houston, TX 77079-7200
Phone
(713) 935-9390
Fax
(713) 935-0730
NPI assigned
Nov 25, 2006
Organization subpart
Yes
Parent organization
SECOND SILHOUETTE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Pamela J Petak
Title
Office Manager
Phone
(713) 529-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

13144 Memorial Dr
Houston, TX 77079-7200

Mailing address

13144 Memorial Dr
Houston, TX 77079-7200
Phone (713) 935-9390

National Provider Directory

National Provider Directory
Tax ID family
Second Silhouette Inc2 organizations share this tax ID, including this one
Part of
Second Silhouette Inc

Other organizations with this tax ID 1

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

Locations

13144 Memorial Dr
Houston, TX 77079
Phone (713) 935-9390

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1023184884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13144 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797200",
            "telephone_number": "713-935-9390",
            "fax_number": "713-935-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13144 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797200",
            "telephone_number": "713-935-9390",
            "fax_number": "713-935-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND SILHOUETTE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND SILHOUETTE, INC",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "PETAK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-529-3733"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 1, 2007; 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.