NPIMap

Organization Active NPI

Total Health Clinic Inc

  • General Practice Physician
  • Stafford, TX
National Provider Identifier
1033168968
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C4177 Issued in TX
Legal business name
TOTAL HEALTH CLINIC INC
Practice address
4611 S Main St
Ste. #7
Stafford, TX 77477-4731
Phone
(281) 277-8396
Fax
(281) 313-0590
NPI assigned
May 8, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mr. John Anthony Woods Sr.
Title
Executive Director
Phone
(281) 277-8396

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 15405 TX
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X C4177 TX Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X C4177 TX

Addresses

Primary practice location

4611 S Main St
Ste. #7
Stafford, TX 77477-4731

Mailing address

4611 S Main St
Ste. #7
Stafford, TX 77477-4731
Phone (281) 277-8396

Other identifiers 1

IdentifierTypeStateIssuer
1685075MedicaidTX

National Provider Directory

National Provider Directory

Locations

4611 S Main St
Ste 7
Stafford, TX 77477
Phone (281) 277-8396

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1033168968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 S MAIN ST",
            "address_2": "STE. #7",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774731",
            "telephone_number": "281-277-8396",
            "fax_number": "281-313-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S MAIN ST",
            "address_2": "STE. #7",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774731",
            "telephone_number": "281-277-8396",
            "fax_number": "281-313-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-277-8396",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "15405",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "C4177",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "C4177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.