Exceptional Heights Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EXCEPTIONAL HEIGHTS MEDICAL CLINIC

Practice address

8240 Antoine Dr Ste 102a
Houston, TX 77088-2522

Phone

(281) 741-8368

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tisha Willis, FNP-C

Title

Ceo

Phone

(281) 615-7601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1063181642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR STE 102A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882522",
            "telephone_number": "281-741-8368",
            "fax_number": "281-741-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR STE 102A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882522",
            "telephone_number": "281-741-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL HEIGHTS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-615-7601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.