NPIMap

Organization Active NPI

Inkerra Medical, PC

  • Ambulatory Surgical Clinic/Center
  • Humble, TX
National Provider Identifier
1306092739
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007917 Issued in TX
Legal business name
INKERRA MEDICAL, PC
Practice address
18929 Highway 59 N
Humble, TX 77338-4270
Phone
(281) 446-4053
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Ifeolumpo O. Sofola
Title
ENT
Phone
(301) 787-8914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007917 TX Primary

Addresses

Primary practice location

18929 Highway 59 N
Humble, TX 77338-4270

Mailing address

PO Box 669
Humble, TX 77347-0669

National Provider Directory

National Provider Directory
Tax ID family
Inkerra Facial Plastics and Rhinology PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1306092739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773470669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18929 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384270",
            "telephone_number": "281-446-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INKERRA MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SOFOLA",
        "authorized_official_first_name": "IFEOLUMPO",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ENT",
        "authorized_official_telephone_number": "301-787-8914"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.