NPIMap

Organization Active NPI

Family Surehealth Clinic LLC

  • Primary Care Clinic/Center
  • Missouri City, TX
National Provider Identifier
1093990905
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
261QP2300X Issued in TX
Legal business name
FAMILY SUREHEALTH CLINIC LLC
Practice address
2435 Texas Pkwy Ste K
Missouri City, TX 77489-4061
Phone
(281) 383-9762
Fax
(832) 886-1675
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Ms. Scholastica Nnenna Nwodo, FNPNPI 1861444028
Title
Administrator
Phone
(281) 383-9762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2435 Texas Pkwy Ste K
Missouri City, TX 77489-4061

Mailing address

2435 Texas Pkwy Ste K
Missouri City, TX 77489-4061
Phone (281) 383-9762

Other identifiers 1

IdentifierTypeStateIssuer
Q68999OtherTXUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000622 TX Part B Supplier - Clinic/Group Practice 1850478348 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Family Surehealth Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2435 Texas Pkwy
Ste K
Missouri City, TX 77489
Phone (281) 208-2220

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1093990905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 TEXAS PKWY STE K",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894061",
            "telephone_number": "281-383-9762",
            "fax_number": "832-886-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 TEXAS PKWY STE K",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894061",
            "telephone_number": "281-383-9762",
            "fax_number": "832-886-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUREHEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "NWODO",
        "authorized_official_first_name": "SCHOLASTICA",
        "authorized_official_middle_name": "NNENNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-383-9762",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "261QP2300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q68999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.