NPIMap

Organization Active NPI

Childrens Specialty Care Clinic

  • Pediatrics Physician
  • Magnolia, TX
National Provider Identifier
1184669533
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDRENS SPECIALTY CARE CLINIC
Practice address
18602 FM 1488 Rd
Suite 700
Magnolia, TX 77354-8508
Phone
(281) 252-0013
Fax
(281) 252-4644
NPI assigned
Jun 19, 2006
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Saifuddin Tahir, M.D.NPI 1760447494
Title
Owner
Phone
(281) 252-0013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

18602 FM 1488 Rd
Suite 700
Magnolia, TX 77354-8508

Mailing address

PO Box 1176
Waller, TX 77484-1176
Phone (936) 931-3448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1184669533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774841176",
            "telephone_number": "936-931-3448",
            "fax_number": "936-931-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18602 FM 1488 RD",
            "address_2": "SUITE 700",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548508",
            "telephone_number": "281-252-0013",
            "fax_number": "281-252-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS SPECIALTY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "SAIFUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-252-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.