Organization Active NPI

St. Johns Family Medicine Clinic, LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1326569716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP116408 Issued in TX
Legal business name
ST. JOHNS FAMILY MEDICINE CLINIC, LLC
Practice address
7640 Airline Dr Unit D
Houston, TX 77037-4621
Phone
(281) 741-2157
Fax
(281) 741-9125
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John Ngene
Title
Manager
Phone
(281) 741-2157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AP116408 TX Primary

Addresses

Primary practice location

7640 Airline Dr Unit D
Houston, TX 77037-4621

Mailing address

7640 Airline Dr Unit D
Houston, TX 77037-4621
Phone (281) 741-2157

National Provider Directory

National Provider Directory

Locations

7640 Airline Dr
Unit D
Houston, TX 77037
Phone (281) 741-2157

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326569716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 AIRLINE DR UNIT D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770374621",
            "telephone_number": "281-741-2157",
            "fax_number": "281-741-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 AIRLINE DR UNIT D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770374621",
            "telephone_number": "281-741-2157",
            "fax_number": "281-741-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNS FAMILY MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NGENE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-741-2157"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP116408",
            "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 Jul 21, 2022; 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.