Active NPI
Med a Clinico
- Chiropractor
- Houston, TX
National Provider Identifier
1316149651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Family Medicine Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Internet Medical Clinics-Cyfair
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Houston, TX
- NPI 1740425115
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1336396613
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.
-
- Gastroenterology Physician
- Houston, TX
- NPI 1104826452
-
- General Practice Physician
- Houston, TX
- NPI 1255599726
-
- Surgery Physician
- Cypress, TX
- NPI 1730161431
-
- Family Medicine Physician
- Houston, TX
- NPI 1457484511
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1457366114
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.