Organization Active NPI

CTB Ultimate Healthcare Facility

  • Health Maintenance Organization
  • Houston, TX
National Provider Identifier
1255641940
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CTB ULTIMATE HEALTHCARE FACILITY
Practice address
301 Wells Fargo Dr
Suite C6
Houston, TX 77090-4060
Phone
(281) 433-9059
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Mrs. Theresa Frances White-Brooks
Title
Ceo
Phone
(281) 433-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

301 Wells Fargo Dr
Suite C6
Houston, TX 77090-4060

Mailing address

23219 Wolfs Crossing CT
Spring, TX 77373-8166
Phone (281) 433-9059

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1255641940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23219 WOLFS CROSSING CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738166",
            "telephone_number": "281-433-9059",
            "fax_number": "281-651-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WELLS FARGO DR",
            "address_2": "SUITE C6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770904060",
            "telephone_number": "281-433-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTB ULTIMATE HEALTHCARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "WHITE-BROOKS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-433-9059",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Oct 14, 2010; 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.