Lifepost Medical Clinic, Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

L7754 Issued in TX

Legal business name

LIFEPOST MEDICAL CLINIC, INC

Practice address

9207 Country Creek Dr
Suite 111
Houston, TX 77036-7745

Phone

(832) 202-3244

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Samuel U Ubokudom

Title

Administrator

Phone

(832) 202-3244

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1023383270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367745",
            "telephone_number": "832-202-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367745",
            "telephone_number": "832-202-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOST MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "UBOKUDOM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-202-3244"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "L7754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "L7754",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.