Organization Active NPI

KRB Enterprises

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1255623989
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K8496 Issued in TX
Legal business name
KRB ENTERPRISES
Practice address
11830 FM 1960 Rd W
Houston, TX 77065-3840
Phone
(832) 814-3987
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mr. Kevin Ryan Baker
Title
C.E.O
Phone
(832) 814-3987

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F1792 TX
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X K8496 TX Primary

Addresses

Primary practice location

11830 FM 1960 Rd W
Houston, TX 77065-3840

Mailing address

4321 Kingwood Dr
Suite 143
Kingwood, TX 77339-3700
Phone (832) 814-3987

National Provider Directory

National Provider Directory
Tax ID family
K R Baker Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11830 FM 1960 Rd W
Houston, TX 77065
Phone (281) 404-3595

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1255623989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 KINGWOOD DR",
            "address_2": "SUITE 143",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393700",
            "telephone_number": "832-814-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840",
            "telephone_number": "832-814-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRB ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "832-814-3987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1792",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K8496",
            "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 May 13, 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.