Active NPI
Eugene a. Degner MD PA
- Addiction Medicine (Family Medicine) Physician
- Bellaire, TX
National Provider Identifier
1124232285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- C8944
- Legal business name
- EUGENE A. DEGNER MD PA
- Practice address
- 6565 West Loop S
Suite 525
Bellaire, TX 77401-3500 - Phone
- (713) 661-7888
- Fax
- (713) 661-7899
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Degner
- Title
- Ceo
- Phone
- (713) 661-7888
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C8944 | TX | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | C8944 | TX | Primary |
| Internal Medicine Physician | 207R00000X | L0414 | TX | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | L0414 | TX |
Addresses
Primary practice location
6565 West Loop S
Suite 525
Bellaire, TX 77401-3500
Mailing address
6565 West Loop S
Suite 525
Bellaire, TX 77401-3500
Phone (713) 661-7888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609965078 | Other | TX | DR MCQUEENS NPI |
| 1851310981 | Other | TX | DR. DEGNERS NPI |
National Provider Directory
National Provider DirectoryLocations
6565 West Loop S
Ste 525
Bellaire, TX 77401
Phone (713) 661-7888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318377600000",
"number": "1124232285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S",
"address_2": "SUITE 525",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013500",
"telephone_number": "713-661-7888",
"fax_number": "713-661-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S",
"address_2": "SUITE 525",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013500",
"telephone_number": "713-661-7888",
"fax_number": "713-661-7899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE A. DEGNER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2011-10-12",
"status": "A",
"authorized_official_last_name": "DEGNER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-661-7888"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "C8944",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "TX",
"license": "C8944",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "L0414",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "TX",
"license": "L0414",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR MCQUEENS NPI",
"identifier": "1609965078",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. DEGNERS NPI",
"identifier": "1851310981",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.