713 Loves PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

713 LOVES PLLC

Doing business as

713 Loves

Practice address

1110 Texas Pkwy Ste 600
Stafford, TX 77477-6497

Phone

(281) 499-2399

NPI assigned

Aug 12, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Jackson

Title

Director

Phone

(310) 350-8180

Specialties & licenses 1

Addresses

Other names 1

• 713 Loves Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1164197943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 TEXAS PKWY STE 600",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TEXAS PKWY STE 600",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776497",
            "telephone_number": "281-499-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "713 LOVES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-350-8180"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1110 Texas Pkwy Ste 600",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774776497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "713 Loves",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "713 Loves",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Stafford, TX
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• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.