Organization Active NPI

Totalcare2U Fort Bend Brazoria LLC

  • Internal Medicine Physician
  • Conroe, TX
National Provider Identifier
1083254577
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TOTALCARE2U FORT BEND BRAZORIA LLC
Practice address
4714 FM 1488 Rd Ste 132
Conroe, TX 77384-4930
Phone
(877) 868-2528
NPI assigned
Jan 13, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Thao Ho
Title
Corporate Counsel
Phone
(877) 868-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4714 FM 1488 Rd Ste 132
Conroe, TX 77384-4930

Mailing address

4714 FM 1488 Rd Ste 132
Conroe, TX 77384-4930
Phone (877) 868-2528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1083254577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 FM 1488 RD STE 132",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844930",
            "telephone_number": "877-868-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 FM 1488 RD STE 132",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844930",
            "telephone_number": "877-868-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALCARE2U FORT BEND BRAZORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "877-868-2528"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

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