Pedes Medical Rehab Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PEDES MEDICAL REHAB CLINIC

Practice address

8300 Bissonnet St Ste 475
Houston, TX 77074-3914

Phone

(713) 541-3395

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Riveral

Title

Manager

Phone

(713) 541-3395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1285819144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743914",
            "telephone_number": "713-541-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743914",
            "telephone_number": "713-541-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDES MEDICAL REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "RIVERAL",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-541-3395",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Peden, MD
• Elise O Pedersen, RN, MSN, CPNP
• Kathryn Pedersen, LCSW
• Jeremie Richard Pederson, D.C.
• William C Pederson, M.D.
• Pediatric and Endocrinology PLLC
• Pediatric Angels, Inc.
• Pediatric Associates
• Pediatric Cottage, P.a.
• Pediatric Dental Wellness

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.