Organization Active NPI

Jacqueline R Carruthers, MD, PA

  • Specialist
  • Houston, TX
National Provider Identifier
1306027867
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K7429 Issued in TX
Legal business name
JACQUELINE R CARRUTHERS, MD, PA
Practice address
7929 North Shepherd
Houston, TX 77088-6346
Phone
(713) 694-6390
Fax
(713) 694-5331
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Jacqueline R. Carruthers, M.D.
Title
Owner
Phone
(713) 694-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K7429 TX Primary

Addresses

Primary practice location

7929 North Shepherd
Houston, TX 77088-6346

Mailing address

PO Box 38598
Houston, TX 77238-8598
Phone (713) 694-6390

National Provider Directory

National Provider Directory

Locations

7929 N Shepherd Dr
#A
Houston, TX 77088
Phone (713) 694-6390

7333 North Fwy
Ste 330
Houston, TX 77076
Phone (713) 694-1493

7333 North Fwy
Ste 410
Houston, TX 77076
Phone (281) 989-6407

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1306027867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38598",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772388598",
            "telephone_number": "713-694-6390",
            "fax_number": "713-694-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 NORTH SHEPHERD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886346",
            "telephone_number": "713-694-6390",
            "fax_number": "713-694-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE R CARRUTHERS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-694-6390",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 12, 2012; 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.