Organization Active NPI

Halo Medical Group Texas Professional Association

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1326820572
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HALO MEDICAL GROUP TEXAS PROFESSIONAL ASSOCIATION
Practice address
6624 Fannin St Ste 2580
Houston, TX 77030-2337
Phone
(713) 904-4014
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
John Feller, MD
Title
Owner
Phone
(760) 766-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6624 Fannin St Ste 2580
Houston, TX 77030-2337

Mailing address

74785 Highway 111
Suite 101 West Building
Indian Wells, CA 92210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1326820572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74785 HIGHWAY 111",
            "address_2": "SUITE 101 WEST BUILDING",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "92210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 2580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-904-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO MEDICAL GROUP TEXAS PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-766-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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 Oct 20, 2023; 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.