NPIMap

Organization Active NPI

Texas City MWP

  • Specialist
  • Texas City, TX
National Provider Identifier
1023490133
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TEXAS CITY MWP
Practice address
6807 Emmett F Lowry Expy
302
Texas City, TX 77591-2546
Phone
(832) 431-5162
Fax
(832) 431-5162
NPI assigned
Jun 25, 2015
Organization subpart
Yes
Parent organization
ST. HOPE FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mr. Rodney Goodie
Title
Ceo
Phone
(713) 778-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6807 Emmett F Lowry Expy
302
Texas City, TX 77591-2546

Mailing address

6200 Savoy Dr
540
Houston, TX 77036-3300
Phone (713) 778-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000896 TX Part B Supplier - Clinic/Group Practice 4880508878 Receives reassigned benefits from 19 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sugar Land, TX; Conroe, TX; Jersey Village, TX; Houston, TX; Dickinson, TX; Bellaire, TX

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Part of
St Hope Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1023490133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SAVOY DR",
            "address_2": "540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363300",
            "telephone_number": "713-778-1300",
            "fax_number": "713-778-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "302",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "832-431-5162",
            "fax_number": "832-431-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CITY MWP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. HOPE FOUNDATION, INC.",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "GOODIE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-778-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.