Organization Active NPI

Houston Fannin Medical Center

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1043547029
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G5317 Issued in TX
Legal business name
HOUSTON FANNIN MEDICAL CENTER
Practice address
2317 Fannin St
Houston, TX 77002-9111
Phone
(713) 655-1600
NPI assigned
Nov 11, 2009
Last updated
Nov 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Floyd E Luckett, M.D.NPI 1982790143
Title
Provider
Phone
(713) 655-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G5317 TX Primary

Addresses

Primary practice location

2317 Fannin St
Houston, TX 77002-9111

Mailing address

2317 Fannin St
Houston, TX 77002-9111
Phone (713) 655-1600

National Provider Directory

National Provider Directory

Locations

2317 Fannin St
Houston, TX 77002
Phone (713) 655-1600

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": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1043547029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029111",
            "telephone_number": "713-655-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029111",
            "telephone_number": "713-655-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON FANNIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "713-655-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G5317",
            "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, 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.