Organization Active NPI

Clinica Gloria de America III

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1104624345
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLINICA GLORIA DE AMERICA III
Practice address
15210 Interstate 45 S Ste 110
Conroe, TX 77384-4967
Phone
(832) 323-3115
Fax
(832) 323-3116
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Aymee Juliotti, RNNPI 1922809862
Title
Manager
Phone
(832) 323-3115

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

15210 Interstate 45 S Ste 110
Conroe, TX 77384-4967

Mailing address

15210 Interstate 45 S Ste 110
Conroe, TX 77384-4967
Phone (832) 323-3115

Other names 1

  • CLINICA GLORIA DE AMERICAIII Former legal business name

National Provider Directory

National Provider Directory

Locations

15210 Interstate 45 S
Ste 110
Conroe, TX 77384
Phone (832) 323-3115

Practitioners & affiliated clinicians

Practitioners 2

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1104624345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844967",
            "telephone_number": "832-323-3115",
            "fax_number": "832-323-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844967",
            "telephone_number": "832-323-3115",
            "fax_number": "832-323-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA GLORIA DE AMERICA III",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "JULIOTTI",
        "authorized_official_first_name": "AYMEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-323-3115",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA GLORIA DE AMERICAIII",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.