Organization Active NPI

Celina Memorial Clinic Inc

  • Clinic/Center
  • Katy, TX
National Provider Identifier
1114297116
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
801530292 Issued in TX
Legal business name
CELINA MEMORIAL CLINIC INC
Practice address
6746 Windy River LN
Katy, TX 77449-6344
Phone
(281) 717-4805
Fax
(832) 262-4640
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Ebere Loveline Obidike, MD
Title
Ceo
Phone
(832) 757-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 801530292 TX Primary

Addresses

Primary practice location

6746 Windy River LN
Katy, TX 77449-6344

Mailing address

6746 Windy River LN
Katy, TX 77449-6344
Phone (281) 717-4805

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1114297116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 WINDY RIVER LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496344",
            "telephone_number": "281-717-4805",
            "fax_number": "832-262-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6746 WINDY RIVER LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496344",
            "telephone_number": "281-717-4805",
            "fax_number": "832-262-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELINA MEMORIAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "OBIDIKE",
        "authorized_official_first_name": "EBERE",
        "authorized_official_middle_name": "LOVELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-757-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "801530292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.