Organization Active NPI

Southwest Family Practice

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1033369863
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTHWEST FAMILY PRACTICE
Practice address
6065 Hillcroft St
Suite 109
Houston, TX 77081-1087
Phone
(713) 772-3200
Fax
(713) 772-3202
NPI assigned
Sep 29, 2008
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Kennubi Rasharn Foote
Title
Clinic Director
Phone
(713) 851-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

6065 Hillcroft St
Suite 109
Houston, TX 77081-1087

Mailing address

6065 Hillcroft St
Suite 109
Houston, TX 77081-1087
Phone (713) 772-3200

National Provider Directory

National Provider Directory

Locations

6065 Hillcroft Ave
Ste 109
Houston, TX 77081
Phone (713) 270-7771

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1033369863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 HILLCROFT ST",
            "address_2": "SUITE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811087",
            "telephone_number": "713-772-3200",
            "fax_number": "713-772-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 HILLCROFT ST",
            "address_2": "SUITE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811087",
            "telephone_number": "713-772-3200",
            "fax_number": "713-772-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "KENNUBI",
        "authorized_official_middle_name": "RASHARN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "713-851-0113"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "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 Jun 3, 2009; 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.