Organization Active NPI

Winebrook Physical Medicine Inc

  • Health Service Clinic/Center
  • Pearland, TX
National Provider Identifier
1336375906
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WINEBROOK PHYSICAL MEDICINE INC
Doing business as
WINEBROOK PHYSICAL MEDICINE
Practice address
12310 Winebrook Dr
Pearland, TX 77584
Phone
(281) 236-7666
Fax
(713) 340-1199
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Mr. Christian E Nworah
Title
Administrator/ President
Phone
(281) 236-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

12310 Winebrook Dr
Pearland, TX 77584

Mailing address

12310 Winebrook Dr
Pearland, TX 77584-1679
Phone (281) 236-7666

Other names 1

  • WINEBROOK PHYSICAL MEDICINE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1336375906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 WINEBROOK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841679",
            "telephone_number": "281-236-7666",
            "fax_number": "713-340-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 WINEBROOK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "281-236-7666",
            "fax_number": "713-340-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINEBROOK PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "NWORAH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/ PRESIDENT",
        "authorized_official_telephone_number": "281-236-7666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINEBROOK PHYSICAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.