Organization Active NPI

Teas Star Family Practice Clinic

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1073816559
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TEAS STAR FAMILY PRACTICE CLINIC
Practice address
9639 Southwest Fwy
Houston, TX 77074-1332
Phone
(713) 777-2404
Fax
(713) 777-2464
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Mr. Abdul Waheed
Title
Supervisor
Phone
(713) 777-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9639 Southwest Fwy
Houston, TX 77074-1332

Mailing address

9639 Southwest Fwy
Houston, TX 77074-1332
Phone (713) 777-2404

National Provider Directory

National Provider Directory

Locations

9639 Southwest Fwy
Houston, TX 77074
Phone (713) 777-2404

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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1073816559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741332",
            "telephone_number": "713-777-2404",
            "fax_number": "713-777-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9639 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741332",
            "telephone_number": "713-777-2404",
            "fax_number": "713-777-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAS STAR FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "713-777-2404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Dec 6, 2010; 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.