Individual provider Active NPI

Apache Goudeau

  • Chiropractor
  • Houston, TX
National Provider Identifier
1174981708
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F0011792 Issued in TX
Practice address
350 N Sam Houston Pkwy E
Suite 289
Houston, TX 77060-3315
Phone
(281) 448-4441
Fax
(713) 391-8409
NPI assigned
Feb 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F0011792 TX Primary

Addresses

Primary practice location

350 N Sam Houston Pkwy E
Suite 289
Houston, TX 77060-3315

Mailing address

350 N Sam Houston Pkwy E
Suite 289
Houston, TX 77060-3315
Phone (281) 448-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F0011792TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1174981708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 289",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603315",
            "telephone_number": "281-448-4441",
            "fax_number": "713-391-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 289",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603315",
            "telephone_number": "281-448-4441",
            "fax_number": "713-391-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDEAU",
        "first_name": "APACHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F0011792",
            "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 Feb 10, 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.