Grapevine Family Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GRAPEVINE FAMILY CLINIC LLC

Practice address

14522 S Post Oak Rd
Suite 203B
Houston, TX 77045-6037

Phone

(713) 434-9270

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Adetokunboh Ade Omigie

Title

Owner

Phone

(713) 434-9270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1255577284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14522 S POST OAK RD",
            "address_2": "SUITE 203B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770456037",
            "telephone_number": "713-434-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14522 S POST OAK RD",
            "address_2": "SUITE 203B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770456037",
            "telephone_number": "713-434-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "OMIGIE",
        "authorized_official_first_name": "ADETOKUNBOH",
        "authorized_official_middle_name": "ADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-434-9270"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torian Grant
• Grantham Clinical Partners
• Percy J Grantham III, LPC
• Chanel N Granville Teamer, M.D.
• Bruno Palma Granwehr, M.D.
• Graphere Inc. (TexCare)
• Graruda Enterprises, Inc. (Unity Homecare)
• Harold Richard Gras, D.D.S.,F.A.G.D.
• Roxana M. Grasu, M.D.
• Michelle Elaine Grata, M.D.

• 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 Mar 9, 2009; 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.