Southeast

Primary specialty

AmbulanceTaxonomy code 341600000X

License

101263 Issued in TX

Legal business name

SOUTHEAST

Practice address

8303 SW Fwy
Ste 320
Houston, TX 77074-1600

Phone

(713) 771-5003

Fax

(713) 771-4144

NPI assigned

Nov 16, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joe Ogbebor

Title

Director

Phone

(713) 771-5003

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Robert J Bacon Jr., MD

  • Psychiatry Physician
  • Houston, TX
  • NPI 1700951704
  NPD (past)
• Gonzalo Uribebotero, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1023052164
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205818150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST",
            "address_2": "STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743900",
            "telephone_number": "713-773-4355",
            "fax_number": "713-773-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SW FWY",
            "address_2": "STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741600",
            "telephone_number": "713-771-5003",
            "fax_number": "713-771-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGBEBOR",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-771-5003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "101263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southampton Clinic PLLC
• Southampton Medical Imaging LLC
• Robert Ellis Southard, MD
• Southbelt Pharmacy
• Southbelt Wellness & Injury Center Inc.
• Southeast Arkansas Five Medical Group, PLLC
• Southeast Care and Health Center
• Southeast Clinical Research Associates, Inc.
• Southeast Eight Medical Group, PLLC
• Southeast Eye Associates, PA

• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.