Active NPI
KRB Enterprises
- Cardiovascular Disease Physician
- Houston, TX
National Provider Identifier
1255623989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- K8496
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F1792 | TX | |
| Cardiovascular Disease Physician | 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Kingwood, TX
- NPI 1144564345
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.