Claudis Martin Medical Care PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CLAUDIS MARTIN MEDICAL CARE PLLC

Practice address

15197 Moonlight TRL
Conroe, TX 77384-3543

Phone

(832) 263-1300

Fax

(832) 909-0113

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Perry

Title

Office Manager

Phone

(832) 263-1300

Specialties & licenses 1

Addresses

Other names 1

• Southern Secrets Med Spa Doing business as

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1124652912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15197 MOONLIGHT TRL",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843543",
            "telephone_number": "832-263-1300",
            "fax_number": "832-909-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15197 MOONLIGHT TRL",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843543",
            "telephone_number": "832-263-1300",
            "fax_number": "832-909-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIS MARTIN MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-263-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Secrets Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Australia D Clark, M.D.
• Jeffrey Paul Clark, D.M.D.
• William Clark, ATC, LAT
• Phillipa Clarkson
• Marie Clary, PTA
• Camille W. Clemens-Clayton, PH.D.
• Casey Lee Clements, D.D.S.
• Samantha Mary-Kathleen Clemons, FNP-C
• Tracy Clifford, LVN
• Clifton Global Healthcare Solutions LLC

• Medical Specialty Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.