I 45 Medical Clinic, LLC.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

I 45 MEDICAL CLINIC, LLC.

Practice address

4141 North Fwy
Suite # 100
Houston, TX 77022-4208

Phone

(713) 699-0900

Fax

(713) 699-0903

NPI assigned

Jun 21, 2010

Last updated

Jun 21, 2010By 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. Angelo Soto

Title

Owner

Phone

(713) 699-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1235450644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 NORTH FWY",
            "address_2": "SUITE # 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770224208",
            "telephone_number": "713-699-0900",
            "fax_number": "713-699-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 NORTH FWY",
            "address_2": "SUITE # 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770224208",
            "telephone_number": "713-699-0900",
            "fax_number": "713-699-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I 45 MEDICAL CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-699-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.