Organization Active NPI

Midtown Family Clinic, Inc.

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1043691017
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
L8304 Issued in TX
Legal business name
MIDTOWN FAMILY CLINIC, INC.
Practice address
2101 Crawford St
Suite 208
Houston, TX 77002-8942
Phone
(713) 759-1641
Fax
(713) 759-9004
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Mkrtich Mike Yepremian
Title
Ceo/President
Phone
(713) 391-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X L8304 TX Primary

Addresses

Primary practice location

2101 Crawford St
Suite 208
Houston, TX 77002-8942

Mailing address

2101 Crawford St
Suite 208
Houston, TX 77002-8942
Phone (713) 759-1641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1043691017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CRAWFORD ST",
            "address_2": "SUITE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028942",
            "telephone_number": "713-759-1641",
            "fax_number": "713-759-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CRAWFORD ST",
            "address_2": "SUITE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028942",
            "telephone_number": "713-759-1641",
            "fax_number": "713-759-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN FAMILY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "YEPREMIAN",
        "authorized_official_first_name": "MKRTICH",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "713-391-4444"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "L8304",
            "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 15, 2015; 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.