Organization Active NPI

Vigor Testosterone and Weight Loss LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1053012955
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VIGOR TESTOSTERONE AND WEIGHT LOSS LLC
Practice address
12804 Gulf Fwy Ste 200
Houston, TX 77034-4850
Phone
(832) 472-0135
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mr. John M Leondike, NPNPI 1457845745
Title
Owner
Phone
(832) 472-0135

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12804 Gulf Fwy Ste 200
Houston, TX 77034-4850

Mailing address

12806 Big Spring TRL
Humble, TX 77346-4048
Phone (832) 472-0135

National Provider Directory

National Provider Directory

Locations

12804 Gulf Fwy
Ste 200
Houston, TX 77034
Phone (832) 472-0135

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": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1053012955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12806 BIG SPRING TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464048",
            "telephone_number": "832-472-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12804 GULF FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344850",
            "telephone_number": "832-472-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGOR TESTOSTERONE AND WEIGHT LOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "LEONDIKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-472-0135",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 Mar 16, 2023; 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.