West Gray Properties, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G5506 Issued in TX

Legal business name

WEST GRAY PROPERTIES, LLC

Practice address

5302 Bellaire Blvd
Bellaire, TX 77401-3904

Phone

(713) 660-0001

Fax

(509) 463-2265

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mario Quintanilla, MD

Title

President

Phone

(713) 660-0001

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1114290079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013904",
            "telephone_number": "713-660-0001",
            "fax_number": "509-463-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013904",
            "telephone_number": "713-660-0001",
            "fax_number": "509-463-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GRAY PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-660-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G5506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NO",
            "identifier": "G5506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B267149",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Weissman
• Kerri Welsh
• Mark Jay Wernick, PH.D.
• Wesley Pharmacy
• West Gray Properties LLC
• Jessica West, FNP
• Alissa Robinson Wheat, FNP
• Bria White, RBT
• Lucile E White, MD
• Whole Insights Psychotherapy Services

• Emergency Medicine Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.