Organization Active NPI

Flu Clinics of Southeast Texas, Inc

  • Public Health & General Preventive Medicine Physician
  • Houston, TX
National Provider Identifier
1154781979
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
FLU CLINICS OF SOUTHEAST TEXAS, INC
Practice address
9601 Katy Fwy
Suite 315
Houston, TX 77024-1342
Phone
(713) 467-6575
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Deborah Medellin
Title
Owner
Phone
(713) 467-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

9601 Katy Fwy
Suite 315
Houston, TX 77024-1342

Mailing address

9601 Katy Fwy
Suite 315
Houston, TX 77024-1342
Phone (713) 467-6575

National Provider Directory

National Provider Directory
Tax ID family
Flu Clinics of Southeast Texas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1154781979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 KATY FWY",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241342",
            "telephone_number": "713-467-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 KATY FWY",
            "address_2": "SUITE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241342",
            "telephone_number": "713-467-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLU CLINICS OF SOUTHEAST TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "MEDELLIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-467-6575"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "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 Mar 7, 2016; 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.