Tri-City Medical Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TRI-CITY MEDICAL CLINIC PLLC

Practice address

2300 Highway 365 Ste 200
Nederland, TX 77627-6251

Phone

(409) 344-9313

NPI assigned

Jan 17, 2020

Organization subpart

No

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

Authorized official

Name

Micheal Mitchell

Title

FNP

Phone

(409) 543-6925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1194355131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 200",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276251",
            "telephone_number": "409-344-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 200",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276251",
            "telephone_number": "409-344-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "409-543-6925"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minda Lao Toledo, M.D.
• Tom Toomey MD PLLC
• Deborah Delores Tomplait, LCSW-BCD
• Matthew Toohey, BC-HIS
• Tower Medical Center of Nederland PA
• Louis (Trey) C Trosclair III, LSA
• Turning Point Changing Lives L.L.C.
• Emem Dan Udonta, M.D.
• Joseph Vargas, ATC, LAT
• Amy Varnado

• Family Nurse Practitioner in Nederland, TX
• Providers in Nederland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.