Active NPI
Texas a&M University System Health Science Center
- Rheumatology Physician
- Houston, TX
National Provider Identifier
1225280290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
- Practice address
- 2121 W Holcombe Blvd
Suite 1111
Houston, TX 77030-3303 - Phone
- (713) 677-8100
- Fax
- (713) 677-8212
- NPI assigned
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John W. Lewis, CPA
- Title
- Executive Director
- Phone
- (979) 862-4465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
2121 W Holcombe Blvd
Suite 1111
Houston, TX 77030-3303
Mailing address
164 Joe H Reynolds Medical BLDG
1114 Tamu Com
College Station, TX 77843-1114
Phone (979) 776-8440
Other names 1
- Texas A&M Physicians - Houston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040802001578 | TX | Part B Supplier - Clinic/Group Practice | 8224008644 |
Receives reassigned benefits from 68 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bryan, TX; College Station, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Bryan, TX
- NPI 1063699312
O20040802001578
-
- General Practice Physician
- Round Rock, TX
- NPI 1992957963
O20040802001578
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Rural Health Clinic/Center
- Navasota, TX
- NPI 1558140004
Member Of
Locations
164 Joe H Reynolds Medical
College Station, TX 77843
2121 W Holcombe Blvd
Ste 1111
Houston, TX 77030
Phone (713) 677-8100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1225280290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 JOE H REYNOLDS MEDICAL BLDG",
"address_2": "1114 TAMU COM",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778431114",
"telephone_number": "979-776-8440",
"fax_number": "979-776-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W HOLCOMBE BLVD",
"address_2": "SUITE 1111",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303303",
"telephone_number": "713-677-8100",
"fax_number": "713-677-8212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "979-862-4465",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas A&M Physicians - Houston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Texans Home Care LLC
- Texans Multispecialty Medical Group, PLLC
- Texans Nemt LLC
- Texans People Pharmacy and Wellness Ctr, LLC
- Texar Medical Management Systems, LLC.
- Texas ABA Associates PLLC
- Texas Academy of Sports Medicine LLC
- Texas Aco LLC
- Texas Activity and Health Care Inc
- Texas Advanced Wound Care Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.