Organization Active NPI

Midtown Physicians,LTD.,L.L.P.

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1093977340
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E7236 Issued in TX
Legal business name
MIDTOWN PHYSICIANS,LTD.,L.L.P.
Practice address
3306 Fannin St
Houston, TX 77004-2904
Phone
(713) 522-1788
Fax
(713) 522-9177
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Miss Lori A Hernandez
Title
Front Office
Phone
(713) 522-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X E7236 TX Primary

Addresses

Primary practice location

3306 Fannin St
Houston, TX 77004-2904

Mailing address

3306 Fannin St
Houston, TX 77004-2904
Phone (713) 522-1788

Other identifiers 1

IdentifierTypeStateIssuer
033862601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1093977340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042904",
            "telephone_number": "713-522-1788",
            "fax_number": "713-522-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042904",
            "telephone_number": "713-522-1788",
            "fax_number": "713-522-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PHYSICIANS,LTD.,L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "713-522-1788",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "E7236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033862601",
            "state": "TX"
        }
    ],
    "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 27, 2008; 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.