Medical Clinic at the Ranch PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N3624 Issued in TX

Legal business name

MEDICAL CLINIC AT THE RANCH PLLC

Practice address

9555 Spring Green Blvd
Suite H
Katy, TX 77494-3462

Phone

(281) 394-0093

Fax

(281) 371-0121

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Vijaya L Dwibhashi, MD

Title

Owner

Phone

(281) 394-0093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1164933958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774410723",
            "telephone_number": "281-394-0093",
            "fax_number": "281-371-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SPRING GREEN BLVD",
            "address_2": "SUITE H",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943462",
            "telephone_number": "281-394-0093",
            "fax_number": "281-371-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC AT THE RANCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "DWIBHASHI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-394-0093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medcomplete LLC
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• Medexpress Urgent Care Texas, P.a. (MedExpress Urgent Care - Katy, Morton Ranch Rd)
• Medhaven Home Healthcare LLC
• Mediatelife LLC
• Medical Colleagues of Texas, LLP
• Medical Support Group LLC
• Medical Tech Solutions
• Medicus Internal Medicine & Primary Care PLLC (Katy-Fulshear Internal Medicine)
• Mediequip DME LLC

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.