Organization Active NPI

Liver & Digestive Consultants, Inc.

  • Legal Medicine
  • Houston, TX
National Provider Identifier
1306096003
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
J2237 Issued in TX
Legal business name
LIVER & DIGESTIVE CONSULTANTS, INC.
Practice address
12060 Bellaire Blvd
Suite a
Houston, TX 77072-2569
Phone
(281) 983-0205
Fax
(281) 983-0385
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Ms. Jackie M Le
Title
Office Manager
Phone
(281) 983-0205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X J2237 TX Primary

Addresses

Primary practice location

12060 Bellaire Blvd
Suite a
Houston, TX 77072-2569

Mailing address

12060 Bellaire Blvd
Suite a
Houston, TX 77072-2569
Phone (281) 983-0205

Other identifiers 1

IdentifierTypeStateIssuer
030910601MedicaidTX

National Provider Directory

National Provider Directory

Locations

12060 Bellaire Blvd
Ste A
Houston, TX 77072
Phone (281) 983-0205

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1306096003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722569",
            "telephone_number": "281-983-0205",
            "fax_number": "281-983-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722569",
            "telephone_number": "281-983-0205",
            "fax_number": "281-983-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVER & DIGESTIVE CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-983-0205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "J2237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030910601",
            "state": "TX"
        }
    ],
    "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 Sep 30, 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.