Organization Active NPI

Tara L Wegryn MD PA

  • Specialist
  • Houston, TX
National Provider Identifier
1033361936
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1425 Issued in TX
Legal business name
TARA L WEGRYN MD PA
Practice address
6400 Fannin St
Suite 2295
Houston, TX 77030-1521
Phone
(713) 791-9778
Fax
(713) 791-9401
NPI assigned
Oct 22, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Tara L Wegryn, MDNPI 1144302845
Title
Owner
Phone
(713) 791-9778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J1425 TX Primary

Addresses

Primary practice location

6400 Fannin St
Suite 2295
Houston, TX 77030-1521

Mailing address

5116 Bissonnet St
PMB 202
Bellaire, TX 77401-4007
Phone (713) 791-9778

National Provider Directory

National Provider Directory

Locations

5116 Bissonnet St
PMB 202
Bellaire, TX 77401

5116 Bissonnet St
PMB 202
Bellaire, TX 77401

6400 Fannin St
Ste 2295
Houston, TX 77030
Phone (713) 791-9778

Practitioners & affiliated clinicians

Practitioners 1

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1033361936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 BISSONNET ST",
            "address_2": "PMB 202",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014007",
            "telephone_number": "713-791-9778",
            "fax_number": "713-791-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "SUITE 2295",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-791-9778",
            "fax_number": "713-791-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA L WEGRYN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "WEGRYN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-791-9778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1425",
            "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 11, 2008; 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.