Organization Active NPI

Armando J. Jarquin, MD, PA

  • Legal Medicine
  • Katy, TX
National Provider Identifier
1124153341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
J6835 Issued in TX
Legal business name
ARMANDO J. JARQUIN, MD, PA
Practice address
705 S Fry Rd Ste 105
Katy, TX 77450-2252
Phone
(281) 599-8345
Fax
(281) 599-3030
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Armando Jose Jarquin, M.D.NPI 1326043860
Title
Owner
Phone
(281) 599-8345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X J6835 TX Primary

Addresses

Primary practice location

705 S Fry Rd Ste 105
Katy, TX 77450-2252

Mailing address

PO Box 57
Barker, TX 77413-0057
Phone (281) 599-8345

Other identifiers 1

IdentifierTypeStateIssuer
1519928MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000239 TX Part B Supplier - Clinic/Group Practice 5092868356 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

705 S Fry Rd
Ste 105
Katy, TX 77450
Phone (281) 500-8176

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124153341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "BARKER",
            "state": "TX",
            "postal_code": "774130057",
            "telephone_number": "281-599-8345",
            "fax_number": "281-599-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S FRY RD STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502252",
            "telephone_number": "281-599-8345",
            "fax_number": "281-599-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMANDO J. JARQUIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARQUIN",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-599-8345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "J6835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519928",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.