Staten Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

STATEN CLINIC

Practice address

6516 New Rd
North Zulch, TX 77872-6337

Phone

(281) 740-2405

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Staten, APRNNPI 1831515667

Title

Owner

Phone

(281) 740-2405

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Staten, APRN; A/G ACNP

  • Acute Care Nurse Practitioner
  • College Station, TX
  • NPI 1831515667
  NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1104636711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 NEW RD",
            "city": "NORTH ZULCH",
            "state": "TX",
            "postal_code": "778726337",
            "telephone_number": "281-740-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 NEW RD",
            "city": "NORTH ZULCH",
            "state": "TX",
            "postal_code": "778726337",
            "telephone_number": "281-740-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "STATEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-740-2405",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Wayne Loving, .D.O.
• North Zulch Independent School District
• Erin J Townsend, LCSW

• Urgent Care Clinic/Center in North Zulch, TX
• Providers in North Zulch, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.