Organization Active NPI

Midwest Family Practice

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1104153840
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MIDWEST FAMILY PRACTICE
Practice address
4000 Dover St
Suite 1
Houston, TX 77087-4626
Phone
(281) 904-9113
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Michelle Marie Gines
Title
Clinic Director
Phone
(682) 554-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4000 Dover St
Suite 1
Houston, TX 77087-4626

Mailing address

4000 Dover St
Suite 1
Houston, TX 77087-4626
Phone (281) 904-9113

National Provider Directory

National Provider Directory

Locations

4000 Dover St
Ste 1
Houston, TX 77087
Phone (281) 904-9113

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1104153840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 DOVER ST",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874626",
            "telephone_number": "281-904-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DOVER ST",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874626",
            "telephone_number": "281-904-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GINES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "682-554-4600"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Nov 16, 2009; 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.