Eastex Medical Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EASTEX MEDICAL CLINIC

Practice address

10769 Eastex Fwy
Houston, TX 77093-4301

Phone

(713) 691-1276

Fax

(713) 691-7258

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Alexei N Fomine

Title

Ceo

Phone

(713) 859-6242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1093088239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10769 EASTEX FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770934301",
            "telephone_number": "713-691-1276",
            "fax_number": "713-691-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 EASTEX FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770934301",
            "telephone_number": "713-691-1276",
            "fax_number": "713-691-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTEX MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "FOMINE",
        "authorized_official_first_name": "ALEXEI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-859-6242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.