Braeswood Vaccine Clinic,Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G1258 Issued in TX

Legal business name

BRAESWOOD VACCINE CLINIC,INC

Practice address

8622 S Braeswood Blvd
Houston, TX 77031-1301

Phone

(832) 251-0500

Fax

(832) 251-0503

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Harminder S Chana, MD

Title

Medical Director

Phone

(832) 251-0500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1144462334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 FOUNTAIN VIEW DR",
            "address_2": "UNIT 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573206",
            "telephone_number": "832-251-0500",
            "fax_number": "832-251-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311301",
            "telephone_number": "832-251-0500",
            "fax_number": "832-251-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAESWOOD VACCINE CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "CHANA",
        "authorized_official_first_name": "HARMINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-251-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G1258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126374107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braeswood Family Medical Clinic
• Braeswood Medical
• Braeswood Palliative Care Hospice LLC
• Braeswood Personal Care Homes Inc
• Braeswood Urgent Care and Family Clinic
• Camila Braganca Xavier, MD
• Bragar Holdings LLC
• William Brad Brager, MA, LPC
• Ashley Corbett Bragg, M.D.
• Jelika Brahaj

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.