Active NPI
Clinica Gloria de America III
- Family Nurse Practitioner
- Conroe, TX
National Provider Identifier
1104624345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aymee Juliotti, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Conroe, TX
- NPI 1922809862
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1760848667
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.