Active NPI
Texas Brain Center, LLC
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Houston, TX
National Provider Identifier
1043828817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- TEXAS BRAIN CENTER, LLC
- Practice address
- 4200 Twelve Oaks Dr
Houston, TX 77027-6812 - Phone
- (713) 980-7900
- Fax
- (713) 383-4446
- NPI assigned
- Jul 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lanisa Guidry
- Title
- VP Revenue Cycle Management
- Phone
- (713) 795-1107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | Primary |
Addresses
Primary practice location
4200 Twelve Oaks Dr
Houston, TX 77027-6812
Mailing address
1911 Bagby St
Houston, TX 77002-8594
Phone (713) 383-7147
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/13131/brand/5/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594944000000",
"number": "1043828817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 BAGBY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028594",
"telephone_number": "713-383-7147",
"fax_number": "713-383-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 TWELVE OAKS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770276812",
"telephone_number": "713-980-7900",
"fax_number": "713-383-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS BRAIN CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A",
"authorized_official_last_name": "GUIDRY",
"authorized_official_first_name": "LANISA",
"authorized_official_title_or_position": "VP REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "713-795-1107"
},
"taxonomies": [
{
"code": "2081P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": null,
"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 Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.