Angel Care Family Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130655 Issued in TX

Legal business name

ANGEL CARE FAMILY CLINIC, LLC

Practice address

5330 FM 1960 Rd E
Ste C
Humble, TX 77346-2502

Phone

(832) 390-4579

NPI assigned

Jan 14, 2017

Last updated

Jan 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Suree Hopitakkul Reynolds, MSN,FNP

Title

Owner

Phone

(832) 390-4579

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1093251035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 SAILING DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462792",
            "telephone_number": "832-390-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 FM 1960 RD E",
            "address_2": "STE C",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462502",
            "telephone_number": "832-390-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SUREE",
        "authorized_official_middle_name": "HOPITAKKUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-390-4579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN,FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP130655",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Andrews, MED
• Brian Keith Andrews Jr.
• James Todd Andrews, MD
• Taylor M Andrews, PT, DPT
• Triaundra Andrews, D.C.
• Angela F Fair (Fair Community Care)
• Anguels Unlimited LLC (Caring Senior Service)
• Anil a. Dara M.D. P.a.
• Adetomilola Aniyeloye-Jones, LPC
• Anna Cross, LPC, PLLC

• Family Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.