59 Medical Clinic LLC – Clinic/Center in Houston, TX

Key facts

NPI: 1265720585
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 261Q00000X
License: F8052 (TX)
Legal business name: 59 MEDICAL CLINIC LLC
Practice address: 3500 Little York Rd
Houston, TX 77093-3658
Phone: (713) 691-8400
Fax: (713) 691-8402
NPI assigned: Jul 20, 2011
Organization subpart: No

Authorized official

Name: Dolores T Castillo
Title: President
Phone: (713) 691-8400

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Felicia Boutte, PA Physician Assistant · Kingwood, TX · NPI 1205146081

NPD (past)

National Provider Directory

Locations

3500 Little York Rd
Ste B6
Houston, TX 77093
Phone (713) 691-8400

3500 Little York Rd
Houston, TX 77093
Phone (713) 691-8400

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X	F8052	TX
General Practice Physician Group: 193200000X MULTI-SPECIALTY GROUP	208D00000X	F8052	TX
Clinic/Center	261Q00000X	F8052	TX	Yes

Addresses

Primary practice location

3500 Little York Rd
Houston, TX 77093-3658

Mailing address

3500 Little York Rd
Houston, TX 77093-3658
Phone (713) 691-8400

Other providers in Houston, TX

All providers in Houston, TX · Clinic/Center in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.