Organization Active NPI

Tomball Primary Care PA

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1063572139
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOMBALL PRIMARY CARE PA
Practice address
1101 Alma St
Suite 104
Tomball, TX 77375-4554
Phone
(281) 290-0018
Fax
(281) 290-0064
NPI assigned
Dec 11, 2006
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. John F Gilmore, MD
Title
Owner
Phone
(281) 290-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1101 Alma St
Suite 104
Tomball, TX 77375-4554

Mailing address

1101 Alma St
Suite 104
Tomball, TX 77375-4554
Phone (281) 290-0018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1063572139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "SUITE 104",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754554",
            "telephone_number": "281-290-0018",
            "fax_number": "281-290-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "SUITE 104",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754554",
            "telephone_number": "281-290-0018",
            "fax_number": "281-290-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-290-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.