Houston Clinica Familia 2 LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

875276 Issued in TX

Legal business name

HOUSTON CLINICA FAMILIA 2 LLC

Practice address

232 E Crosstimbers St Ste E
Houston, TX 77022-4499

Phone

(713) 695-7600

NPI assigned

Jun 28, 2018

Last updated

Jun 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaimara G Pantoja, NP

Title

NP

Phone

(713) 695-7600

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1023503323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E CROSSTIMBERS ST STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770224499",
            "telephone_number": "713-695-7600",
            "fax_number": "713-695-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E CROSSTIMBERS ST STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770224499",
            "telephone_number": "713-695-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON CLINICA FAMILIA 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "PANTOJA",
        "authorized_official_first_name": "YAIMARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "713-695-7600",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "875276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSE PRACTITIONER",
            "identifier": "875276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Houston Community Health Centers, Inc (Pugh Elementary)
• Houston Community Health Centers, Inc (McReynolds Middle School)
• Houston Community Health Centers, Inc (Pugh Elementary)

• Licensed Practical Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.