Mt Houston Urgent Care

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

G9083 Issued in TX

Legal business name

MT HOUSTON URGENT CARE

Practice address

11753 W Bellfort St
Ste 100
Stafford, TX 77477-1327

Phone

(281) 495-1178

Fax

(281) 646-0927

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Ann Shirah, ADMINISTRATOR

Title

Credentialing Supervisor

Phone

(281) 646-1935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl Kavanaugh Covington, MD

  • General Practice Physician
  • Houston, TX
  • NPI 1083607683
  NPD (past)
• John D Kirkwood, DO

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1073598777
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1346363686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11753 W BELLFORT ST",
            "address_2": "STE 100",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771327",
            "telephone_number": "281-495-1178",
            "fax_number": "281-646-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11753 W BELLFORT ST",
            "address_2": "STE 100",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771327",
            "telephone_number": "281-495-1178",
            "fax_number": "281-646-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT HOUSTON URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SHIRAH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "281-646-1935",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "G9083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0052LX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Moss
• Robin Mott, LVN
• Mark Alan Mounts, L.P.C.
• Move About Medical Supplies Inc
• Mpulse Healthcare
• Priye T Mukoro, LPC
• Holly Elizabeth Muldowney
• Erica Nicole Munoz
• Mary Munoz, SLP INTERN
• Selena Michelle Munoz

• Basic Emergency Medical Technician in Stafford, TX
• Providers in Stafford, TX by specialty
• Basic Emergency Medical Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.