Organization Active NPI

Shalom Mobile Health Ministry

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1134437189
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01477 Issued in TX
Legal business name
SHALOM MOBILE HEALTH MINISTRY
Practice address
8121 Broadway St
Ste. 103
Houston, TX 77061-1340
Phone
(713) 900-2750
Fax
(713) 900-2751
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mrs. Monica King
Title
Executive Director
Phone
(713) 900-2750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X PA01477 TX Primary

Addresses

Primary practice location

8121 Broadway St
Ste. 103
Houston, TX 77061-1340

Mailing address

8121 Broadway St
Ste. 103
Houston, TX 77061-1340
Phone (713) 900-2750

Other names 1

  • Shalom Health Ministry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1134437189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 BROADWAY ST",
            "address_2": "STE. 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770611340",
            "telephone_number": "713-900-2750",
            "fax_number": "713-900-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 BROADWAY ST",
            "address_2": "STE. 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770611340",
            "telephone_number": "713-900-2750",
            "fax_number": "713-900-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MOBILE HEALTH MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-900-2750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Health Ministry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.