Organization Active NPI

Kinkaid Medical, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Stafford, TX
National Provider Identifier
1114593654
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KINKAID MEDICAL, PLLC
Practice address
3727 Greenbriar Dr Ste 118
Stafford, TX 77477-3929
Phone
(832) 999-4829
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Dr. Pat Alabi, DC
Title
Manager
Phone
(832) 999-4829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3727 Greenbriar Dr Ste 118
Stafford, TX 77477-3929

Mailing address

PO Box 642
Stafford, TX 77497-0642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1114593654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774970642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 GREENBRIAR DR STE 118",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773929",
            "telephone_number": "832-999-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINKAID MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-999-4829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.