Organization Active NPI

Three Angels Medical Clinic Inc.

  • Nurse Massage Therapist (NMT)
  • Houston, TX
National Provider Identifier
1043537012
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
7033345 Issued in TX
Legal business name
THREE ANGELS MEDICAL CLINIC INC.
Practice address
7111 Harwin Dr
Suite# 277
Houston, TX 77036-2129
Phone
(832) 382-3422
Fax
(281) 597-0262
NPI assigned
Apr 29, 2010
Organization subpart
Yes
Parent organization
THREE ANGELS MEDICAL CLINIC INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Grace J. Munthali, RN.
Title
Ceo/ President
Phone
(832) 382-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT)Group: 193200000X MULTI-SPECIALTY GROUP 163WM1400X 7033345 TX Primary

Addresses

Primary practice location

7111 Harwin Dr
Suite# 277
Houston, TX 77036-2129

Mailing address

7111 Harwin Dr
Suite# 277
Houston, TX 77036-2129
Phone (832) 382-3422

National Provider Directory

National Provider Directory
Part of
Three Angels Med Clinic Inc

Locations

6666 Harwin Dr
Ste 170
Houston, TX 77036
Phone (713) 266-2434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1043537012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 HARWIN DR",
            "address_2": "SUITE# 277",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362129",
            "telephone_number": "832-382-3422",
            "fax_number": "281-597-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 HARWIN DR",
            "address_2": "SUITE# 277",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362129",
            "telephone_number": "832-382-3422",
            "fax_number": "281-597-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ANGELS MEDICAL CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE ANGELS MEDICAL CLINIC INC.",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "MUNTHALI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "832-382-3422",
        "authorized_official_credential": "RN."
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "TX",
            "license": "7033345",
            "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 Apr 29, 2010; 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.