Active NPI
Urban Healthcare, LLC
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1275716110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- URBAN HEALTHCARE, LLC
- Practice address
- 5616 Lawndale St
Suite a-203
Houston, TX 77023-3840 - Phone
- (713) 923-2273
- Fax
- (713) 923-2276
- NPI assigned
- Dec 13, 2007
- 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
- Jason T Urtis
- Title
- Manager
- Phone
- (713) 923-2273
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatrics Physician | 208000000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
5616 Lawndale St
Suite a-203
Houston, TX 77023-3840
Mailing address
2837 Clinton Dr
Houston, TX 77020-8401
Phone (713) 923-2273
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192241102 | Medicaid | TX | |
| 0011RB | Other | TX | BCBS |
| 192241101 | Medicaid | TX |
Other names 1
- Santa Clara Family Clinic
National Provider Directory
National Provider DirectoryLocations
5616 Lawndale St
Ste A203
Houston, TX 77023
Phone (713) 923-2273
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- College Station, TX
- NPI 1326088592
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1528517521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1275716110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2837 CLINTON DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770208401",
"telephone_number": "713-923-2273",
"fax_number": "713-923-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5616 LAWNDALE ST",
"address_2": "SUITE A-203",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770233840",
"telephone_number": "713-923-2273",
"fax_number": "713-923-2276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBAN HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "URTIS",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-923-2273"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192241102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0011RB",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192241101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Clara Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.