Mobil Outreach Clinic

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

MOBIL OUTREACH CLINIC

Practice address

3922 Crestwind LN
Richmond, TX 77407-3220

Phone

(832) 885-8291

Fax

(713) 929-3621

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Wainy Testamichael

Title

Owner

Phone

(832) 885-8291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1346590593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 CRESTWIND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073220",
            "telephone_number": "832-885-8291",
            "fax_number": "713-929-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 CRESTWIND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073220",
            "telephone_number": "832-885-8291",
            "fax_number": "713-929-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBIL OUTREACH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "TESTAMICHAEL",
        "authorized_official_first_name": "WAINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-885-8291"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Richmond, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.