NPIMap

Organization Active NPI

Premiercare Family Clinic

  • Primary Care Clinic/Center
  • Baytown, TX
National Provider Identifier
1124356753
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K7844 Issued in TX
Legal business name
PREMIERCARE FAMILY CLINIC
Practice address
1010 W Baker Rd
#102
Baytown, TX 77521-2382
Phone
(281) 428-5755
Fax
(832) 556-8667
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Chrisina Lam
Title
Member/Owner
Phone
(281) 428-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K7844 TX Primary

Addresses

Primary practice location

1010 W Baker Rd
#102
Baytown, TX 77521-2382

Mailing address

1010 W Baker Rd
#102
Baytown, TX 77521-2382
Phone (281) 428-5755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1124356753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W BAKER RD",
            "address_2": "#102",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212382",
            "telephone_number": "281-428-5755",
            "fax_number": "832-556-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W BAKER RD",
            "address_2": "#102",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212382",
            "telephone_number": "281-428-5755",
            "fax_number": "832-556-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERCARE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "CHRISINA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "281-428-5755"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K7844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.