Organization Active NPI

Colon & Rectal Clinic, P. a.

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1245223262
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
COLON & RECTAL CLINIC, P. A.
Practice address
6550 Fannin St
Ste 2307
Houston, TX 77030-2717
Phone
(713) 790-9250
Fax
(713) 790-9251
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Ernest Max, M.D.
Title
Ceo
Phone
(713) 790-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

6550 Fannin St
Ste 2307
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Ste 2307
Houston, TX 77030-2717
Phone (713) 790-9250

Other identifiers 1

IdentifierTypeStateIssuer
121688902MedicaidTX

National Provider Directory

National Provider Directory

Locations

6550 Fannin St
#2304
Houston, TX 77030
Phone (713) 790-9250

11920 Astoria Blvd
Ste 330
Houston, TX 77089
Phone (281) 335-0377

6550 Fannin St
Ste 2307
Houston, TX 77030
Phone (713) 790-9250

800 Peakwood Dr
Ste 2C
Houston, TX 77090
Phone (713) 440-7495

11914 Astoria Blvd
Ste 310
Houston, TX 77089
Phone (281) 484-9221

909 Frostwood Dr
#236
Houston, TX 77024
Phone (713) 464-1758

9200 Pinecroft Dr
Ste 320
Shenandoah, TX 77380
Phone (281) 367-7288

Practitioners & affiliated clinicians

Practitioners 5

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": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1245223262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "STE 2307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-9250",
            "fax_number": "713-790-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "STE 2307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-9250",
            "fax_number": "713-790-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL CLINIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "MAX",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-790-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121688902",
            "state": "TX"
        }
    ],
    "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 May 17, 2011; 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.