Organization Active NPI

Houston Northwest Primary Care PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1215023882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOUSTON NORTHWEST PRIMARY CARE PA
Practice address
15655 Cypess Woods Medical Drive
Suite 110
Houston, TX 77014
Phone
(281) 580-7004
Fax
(281) 921-1167
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Catherine Sundy, LVN
Title
Facility Administrator & Manager
Phone
(281) 580-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15655 Cypess Woods Medical Drive
Suite 110
Houston, TX 77014

Mailing address

15655 Cypress Woods Medical Drive
Suite 110
Houston, TX 77014
Phone (281) 580-7004

National Provider Directory

National Provider Directory

Locations

810 Peakwood Dr
Ste 400
Houston, TX 77090
Phone (281) 537-6405

15655 Cypress Wood Medical Dr
Ste 110
Houston, TX 77014
Phone (281) 580-7004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215023882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 CYPRESS WOODS MEDICAL DRIVE",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77014",
            "telephone_number": "281-580-7004",
            "fax_number": "281-921-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 CYPESS WOODS MEDICAL DRIVE",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77014",
            "telephone_number": "281-580-7004",
            "fax_number": "281-921-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON NORTHWEST PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR & MANAGER",
        "authorized_official_telephone_number": "281-580-7004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 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.