Professional Medical & Surgical Clinic Association

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D5589 Issued in TX

Legal business name

PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION

Practice address

1740 W 27TH St
Houston, TX 77008-1433

Phone

(713) 863-1555

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher S. Angelo, D.O.

Title

President

Phone

(713) 863-1555

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1134167653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST #221",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77008",
            "telephone_number": "713-863-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081433",
            "telephone_number": "713-863-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-863-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D5589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A1910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103693101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Clinical Laboratory Inc (ProLab)
• Professional First Assistants,LLC
• Professional Foot and Ankle Surgical Center, PA
• Professional Imagaing, LLC
• Professional Management Services
• Professional Nurses at Home, Inc. (Bayou City Home Health Care North)
• Professional Portable Radiologic Services Inc.
• Professional Wellness Centers, LLC
• Proficient Surgical Services LLC
• Profit Anesthesia Consultants LLC (Profit Anesthesia Consultants)

• 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 Feb 24, 2014; 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.