Organization Active NPI

Essence Universal Clinic Inc

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1245512797
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ESSENCE UNIVERSAL CLINIC INC
Practice address
10333 Harwin Dr
200
Houston, TX 77036-1545
Phone
(281) 568-5975
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Mr. Gibson Ajuzie
Title
Administrator
Phone
(281) 568-5975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10333 Harwin Dr
200
Houston, TX 77036-1545

Mailing address

10333 Harwin Dr
200
Houston, TX 77036-1545
Phone (281) 568-5975

National Provider Directory

National Provider Directory

Locations

10333 Harwin Dr
Ste 200
Houston, TX 77036
Phone (713) 772-1160

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1245512797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361545",
            "telephone_number": "281-568-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361545",
            "telephone_number": "281-568-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE UNIVERSAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "AJUZIE",
        "authorized_official_first_name": "GIBSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-568-5975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 14, 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.