Organization Active NPI

Spirit of Texas Family Medicine PLLC

  • Primary Care Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1255773123
Registry record updated Jul 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
P2163 Issued in TX
Legal business name
SPIRIT OF TEXAS FAMILY MEDICINE PLLC
Practice address
15200 Southwest Fwy
Suite 180
Sugar Land, TX 77478-3845
Phone
(614) 806-8729
NPI assigned
Jul 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2013

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

Authorized official

Name
Dr. Elise Yasmeen Sadoun, MD
Title
Owner
Phone
(614) 806-8729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X P2163 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy
Suite 180
Sugar Land, TX 77478-3845

Mailing address

15200 Southwest Fwy
Suite 180
Sugar Land, TX 77478-3845
Phone (614) 806-8729

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7590/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1374364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374364800000",
    "number": "1255773123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "SUITE 180",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783845",
            "telephone_number": "614-806-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "SUITE 180",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783845",
            "telephone_number": "614-806-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF TEXAS FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-21",
        "last_updated": "2013-07-21",
        "status": "A",
        "authorized_official_last_name": "SADOUN",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "YASMEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-806-8729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "P2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.