St Joseph Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST JOSEPH MEDICAL CLINIC INC

Practice address

7457 Harwin Dr
101
Houston, TX 77036-2018

Phone

(832) 255-2300

Fax

(713) 337-5201

NPI assigned

Dec 16, 2009

Last updated

Mar 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Mathenge

Title

Administrator/President

Phone

(832) 255-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Ernesto Zepeda, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1215032602
  NPD (past)

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1346579695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362018",
            "telephone_number": "832-255-2300",
            "fax_number": "713-337-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362018",
            "telephone_number": "832-255-2300",
            "fax_number": "713-337-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "MATHENGE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "832-255-2300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Johns Nerve and Joint
• St Johns Regional
• St Joseph Emergency Physicians PLLC
• St Joseph Emergency Physicians PLLC
• St Joseph Med Supply
• St Jude Ambulance LLC
• St Jude EMS, Inc.
• St Jude Visiting Nurses Home Health, Inc (St Jude Home Care)
• St Kevins EMS Services
• St Leo Healthcare Services Inc

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.