Organization Active NPI

MLK Medical Clinic, Inc

  • Health Service Clinic/Center
  • Houston, TX
National Provider Identifier
1134440993
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MLK MEDICAL CLINIC, INC
Practice address
4973 MLK Blvd
Houston, TX 77021-2909
Phone
(713) 636-2609
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Emmanuel Ojeniyi
Title
Director/Co-Owner
Phone
(713) 636-2609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4973 MLK Blvd
Houston, TX 77021-2909

Mailing address

4973 MLK Blvd
Houston, TX 77021-2909
Phone (713) 636-2609

National Provider Directory

National Provider Directory

Locations

4973 Martin Luther King Blvd
Houston, TX 77021
Phone (713) 636-2601

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1134440993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 MLK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212909",
            "telephone_number": "713-636-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4973 MLK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212909",
            "telephone_number": "713-636-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLK MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "OJENIYI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "DIRECTOR/CO-OWNER",
        "authorized_official_telephone_number": "713-636-2609"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2010; 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.