Organization Active NPI

Texas a&M University System Health Science Center

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1225280290
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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

Updated by the provider on Jul 1, 2014

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

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.

Verify at the official NPI Registry.