Affinity Family Medicine and Wellness Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2698 Issued in TX

Legal business name

AFFINITY FAMILY MEDICINE AND WELLNESS CENTER, PA

Practice address

17510 W Grand Pkwy S
Suite 380
Sugar Land, TX 77479-2645

Phone

(281) 238-0200

Fax

(281) 232-5792

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Erika D. Gentry, M.D.NPI 1639259989

Title

MD/Owner

Phone

(281) 238-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Erika D Gentry, MD

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1639259989
  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1053585364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "SUITE 380",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-238-0200",
            "fax_number": "281-232-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "SUITE 380",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-238-0200",
            "fax_number": "281-232-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY FAMILY MEDICINE AND WELLNESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "281-238-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.