Organization Active NPI

Med a Clinico

  • Chiropractor
  • Houston, TX
National Provider Identifier
1316149651
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MED A CLINICO
Practice address
12779 Jones Rd
Ste 108
Houston, TX 77070-4648
Phone
(281) 955-0000
Fax
(281) 955-5305
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Wilma Ellis
Title
Office Manager
Phone
(281) 955-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

12779 Jones Rd
Ste 108
Houston, TX 77070-4648

Mailing address

12779 Jones Rd
Ste 108
Houston, TX 77070-4648
Phone (281) 955-0000

Other names 1

  • Internet Medical Clinics-CyFair Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Internet Medical Clinics-Cyfair3 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.

Locations

12779 Jones Rd
Ste 108
Houston, TX 77070
Phone (281) 955-0000

Practitioners & affiliated clinicians

Practitioners 5

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316149651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12779 JONES RD",
            "address_2": "STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704648",
            "telephone_number": "281-955-0000",
            "fax_number": "281-955-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12779 JONES RD",
            "address_2": "STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704648",
            "telephone_number": "281-955-0000",
            "fax_number": "281-955-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED A CLINICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "WILMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-955-0000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internet Medical Clinics-CyFair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2025; 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.