NPIMap

Organization Active NPI

Program for Side Effects Management

Doing business as Houston Buyers Coub

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1154578292
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PROGRAM FOR SIDE EFFECTS MANAGEMENT
Doing business as
Houston Buyers Coub
Practice address
3224 Yoakum Blvd
Houston, TX 77006-3926
Phone
(713) 520-5288
Fax
(713) 521-7419
NPI assigned
Aug 20, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Mr. Fred Walters Jr.
Title
Executive Director
Phone
(713) 520-5288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3224 Yoakum Blvd
Houston, TX 77006-3926

Mailing address

3224 Yoakum Blvd
Houston, TX 77006-3926
Phone (713) 520-5288

Other names 1

  • Houston Buyers Coub Doing business as

National Provider Directory

National Provider Directory

Locations

3224 Yoakum Blvd
Houston, TX 77006
Phone (713) 520-5288

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1154578292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063926",
            "telephone_number": "713-520-5288",
            "fax_number": "713-521-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063926",
            "telephone_number": "713-520-5288",
            "fax_number": "713-521-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAM FOR SIDE EFFECTS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-520-5288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Buyers Coub",
            "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 Aug 22, 2008; 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.