Organization Active NPI

Hansa B. Medley M.D.

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1346632908
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP127227 Issued in TX
Legal business name
HANSA B. MEDLEY M.D.
Practice address
3920 Braxton Dr Ste 108
Houston, TX 77063-6304
Phone
(713) 782-2156
Fax
(713) 782-5054
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Mrs. Carretta L Mwesiga, MSN, FNP-C
Title
Family Nurse Practitioner
Phone
(713) 782-2156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP127227 TX Primary

Addresses

Primary practice location

3920 Braxton Dr Ste 108
Houston, TX 77063-6304

Mailing address

3920 Braxton Dr Ste 108
Houston, TX 77063-6304
Phone (713) 782-2156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1346632908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BRAXTON DR STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770636304",
            "telephone_number": "713-782-2156",
            "fax_number": "713-782-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BRAXTON DR STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770636304",
            "telephone_number": "713-782-2156",
            "fax_number": "713-782-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSA B. MEDLEY M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "MWESIGA",
        "authorized_official_first_name": "CARRETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "713-782-2156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP127227",
            "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 Feb 19, 2015; 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.