Organization Active NPI

Betesda Medical Clinic, PA

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1104124908
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BETESDA MEDICAL CLINIC, PA
Practice address
616 W 23Rd St
Houston, TX 77008-1942
Phone
(713) 869-2300
Fax
(713) 869-3868
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Maria Villalobos
Title
Manager
Phone
(713) 869-2300

Specialties & licenses 1

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

Addresses

Primary practice location

616 W 23Rd St
Houston, TX 77008-1942

Mailing address

616 W 23Rd St
Houston, TX 77008-1942
Phone (713) 869-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1104124908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W 23RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081942",
            "telephone_number": "713-869-2300",
            "fax_number": "713-869-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W 23RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081942",
            "telephone_number": "713-869-2300",
            "fax_number": "713-869-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETESDA MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-869-2300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 2011; 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.