Organization Active NPI

Clarewood Health Center LLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1306284989
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLAREWOOD HEALTH CENTER LLC
Practice address
6633 Hillcroft St
Ste 112
Houston, TX 77081-4887
Phone
(713) 988-8787
Fax
(713) 988-8897
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Mr. Yerzhan Dvukeno
Title
Owner
Phone
(713) 988-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6633 Hillcroft St
Ste 112
Houston, TX 77081-4887

Mailing address

6633 Hillcroft St
Ste 112
Houston, TX 77081-4887
Phone (713) 988-8787

National Provider Directory

National Provider Directory

Locations

6633 Hillcroft Ave
Ste 112
Houston, TX 77081
Phone (713) 988-8787

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": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1306284989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 HILLCROFT ST",
            "address_2": "STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814887",
            "telephone_number": "713-988-8787",
            "fax_number": "713-988-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 HILLCROFT ST",
            "address_2": "STE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814887",
            "telephone_number": "713-988-8787",
            "fax_number": "713-988-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREWOOD HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "DVUKENO",
        "authorized_official_first_name": "YERZHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-988-8787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Jun 5, 2013; 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.