Woodfair Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WOODFAIR FAMILY PRACTICE

Practice address

9896 Bissonnet St Ste 375
Houston, TX 77036-8154

Phone

(713) 774-0024

Fax

(713) 774-0024

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Bennette Bergeron, ADMINSTRATOR

Title

Owner

Phone

(713) 774-0024

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Emmanuel Ulonnaya Agoh, MD

  • General Practice Physician
  • Houston, TX
  • NPI 1508034927
  NPD (past)
• Stanton C. Packard, M.D.

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1902902257
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1245501634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET #375",
            "address_2": "9896 BISSONNET #375",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368154",
            "telephone_number": "713-774-0024",
            "fax_number": "713-774-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST STE 375",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368154",
            "telephone_number": "713-774-0024",
            "fax_number": "713-774-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFAIR FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "BENNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-774-0024",
        "authorized_official_credential": "ADMINSTRATOR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodbridge Sa Services
• Julie Woodbury, CPNP
• Suzanne Woodbury, MD
• Jaimee S Woodell, MS
• Kristen Rene Woodend, PA-C
• Woodforest Dental and Orthodontics PLLC
• Woodforest Dental Associates
• Robert Lee Woodham, MD
• Kristina Demas Woodhouse, M.D.
• Lanorah Woodhouse

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.