Good Life Healthcare Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOOD LIFE HEALTHCARE CENTER

Practice address

2450 Louisiana St
Suite 400-933
Houston, TX 77006-2380

Phone

(832) 265-0605

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Lavetta Dunn

Title

Owner

Phone

(832) 265-0605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1114150489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST",
            "address_2": "SUITE 400-933",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062380",
            "telephone_number": "832-265-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST",
            "address_2": "SUITE 400-933",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062380",
            "telephone_number": "832-265-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "LAVETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-265-0605"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.