Vcphcs Xvi, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

1000041 Issued in TX

Legal business name

VCPHCS XVI, LLC

Doing business as

BHG-Humble

Practice address

19333 Highway 59 N
Suite 280
Humble, TX 77338-4204

Phone

(281) 540-0331

Fax

(281) 540-0339

NPI assigned

Jul 12, 2013

Last updated

Jul 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Frederick Draudt

Title

Coo

Phone

(214) 365-6111

Specialties & licenses 1

Addresses

Other names 1

• BHG-Humble Doing business as

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1255772638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE",
            "address_2": "SUITE 750",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255603",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 HIGHWAY 59 N",
            "address_2": "SUITE 280",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384204",
            "telephone_number": "281-540-0331",
            "fax_number": "281-540-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS XVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "DRAUDT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-365-6111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "1000041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG-Humble",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith D Vassallo, MD
• Kristen Vaughn
• Jeliane Amelia Vazquez
• Susana Vazquez
• Yesenia Vazquez
• Leandro Ernesto Velazquez
• Ravinder Bala Krishnan Vellore
• Edwin Jonattan Vences
• Viviana Vences
• Adrianna Verm

• Methadone Clinic in Humble, TX
• Providers in Humble, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.