Bellaire Family Clinic, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L6218 Issued in TX

Legal business name

BELLAIRE FAMILY CLINIC, P.A.

Practice address

9737 FM 1960 Bypass Rd W
Humble, TX 77338-4067

Phone

(281) 540-8896

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Chit Wong, D.O.NPI 1700982170

Title

Owner

Phone

(713) 628-5372

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bellaire Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bellaire Family Clinic

  • Urgent Care Clinic/Center
  • Humble, TX
  • NPI 1548684335
  NPD tax ID

Locations

Practitioners 3

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

• Chit Wong, D.O.

  • Family Medicine Physician
  • Humble, TX
  • NPI 1700982170
  Medicare reassignment NPD Authorized official
• Rodrigo Daniel Hinke, DC, FNP, RN, FABES

  • Nurse Practitioner
  • Humble, TX
  • NPI 1174831739
  NPD (past)
• Cristina G Mallari, NP-C

  • Adult Health Nurse Practitioner
  • Paterson, NJ
  • NPI 1992046361
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1285814004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 CREEKSTONE LAKE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541003",
            "telephone_number": "713-628-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384067",
            "telephone_number": "281-540-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE FAMILY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-628-5372",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Belk, DC
• Jennifer Parker Bell, M.A., CCC-SLP
• Michelle A Bell, RD LD
• Sheneka Bell, LMSW
• Bellaire Family Clinic
• Bellavita Infusion Services PLLC
• Ricardo Vincente Bellera, M.D.
• Bellevie Home Care LLC
• Bene Beyond Family Medicine PLLC
• Bene Health and Wellness Clinic, PLLC

• Family Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.