KMC Clinic Wilcrest

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KMC CLINIC WILCREST

Practice address

11658 Southwest Fwy
Houston, TX 77031-3612

Phone

(281) 302-5121

Fax

(281) 302-6294

NPI assigned

Dec 29, 2022

Organization subpart

Yes

Parent organization

SABA ASAD ANSARI P.A.As reported in NPPES

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

Authorized official

Name

Reggie Abraham

Title

Authrorized Official

Phone

(281) 398-7778

Specialties & licenses 1

Addresses

Tax ID family

KMC Clinic Wilcrest3 organizations share this tax ID, including this one

Part of

KMC Clinic Wilcrest

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Saba Asad Ansari P.a.

  • Physiological Laboratory
  • Katy, TX
  • NPI 1346185717
  NPD tax ID
• Saba Asad Ansari P.a.

  • Family Medicine Physician
  • Katy, TX
  • NPI 1356734644
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Saba Asad Ansari P.a.

  • Family Medicine Physician
  • Katy, TX
  • NPI 1356734644
  NPPES parent name

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1124731674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11658 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313612",
            "telephone_number": "281-302-5121",
            "fax_number": "281-302-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11658 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313612",
            "telephone_number": "281-302-5121",
            "fax_number": "281-302-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMC CLINIC WILCREST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABA ASAD ANSARI P.A.",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "REGGIE",
        "authorized_official_title_or_position": "AUTHRORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-398-7778"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kma DDS PLLC
• Kma Diagnostic LLC
• Kma Medical Supply Inc
• Kma Rehabilitation and Wellness Center, Inc.
• KMB Associates PLLC
• KMD Healthcare Services Inc
• KMD Partnership LLC
• Katherine Marie Kmetz
• KMTM Enterprises, Inc
• Kmyaias Healthcare Inc

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.