Organization Active NPI

Southeast Texas Family Planning and Cancer Screening

  • Public Health or Welfare Agency
  • Houston, TX
National Provider Identifier
1205035631
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
C1836 Issued in TX
Legal business name
SOUTHEAST TEXAS FAMILY PLANNING AND CANCER SCREENING
Practice address
6565 De Moss Dr Ste 112
Houston, TX 77074-5021
Phone
(713) 774-6550
Fax
(713) 774-7156
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mrs. Mary K. Boyle
Title
Administrator
Phone
(713) 774-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X C1836 TX Primary

Addresses

Primary practice location

6565 De Moss Dr Ste 112
Houston, TX 77074-5021

Mailing address

6565 De Moss Dr Ste 112
Houston, TX 77074-5021
Phone (713) 774-6550

Other identifiers 1

IdentifierTypeStateIssuer
133590306MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1205035631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 DE MOSS DR STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745021",
            "telephone_number": "713-774-6550",
            "fax_number": "713-774-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 DE MOSS DR STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745021",
            "telephone_number": "713-774-6550",
            "fax_number": "713-774-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS FAMILY PLANNING AND CANCER SCREENING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-774-6550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "C1836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133590306",
            "state": "TX"
        }
    ],
    "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 Jul 16, 2007; 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.