Organization Active NPI

Sahasra Medical Clinic

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1073779054
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SAHASRA MEDICAL CLINIC
Practice address
4141 Southwest Fwy Ste 510
Houston, TX 77027-7334
Phone
(832) 699-9734
Fax
(281) 710-6222
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Iesha Ishea Grant, APRN-BC
Title
Owner
Phone
(504) 762-0245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4141 Southwest Fwy Ste 510
Houston, TX 77027-7334

Mailing address

1403 Bodenger Blvd
New Orleans, LA 70114-6001
Phone (832) 699-9734

National Provider Directory

National Provider Directory

Locations

5910 Scott St
Ste E
Houston, TX 77021
Phone (713) 222-2448

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1073779054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 BODENGER BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146001",
            "telephone_number": "832-699-9734",
            "fax_number": "281-710-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SOUTHWEST FWY STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277334",
            "telephone_number": "832-699-9734",
            "fax_number": "281-710-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHASRA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "IESHA",
        "authorized_official_middle_name": "ISHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-762-0245",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Jun 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.

Verify at the official NPI Registry.