Altmedical Clinic PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ALTMEDICAL CLINIC PLLC

Practice address

10739 Gulf Fwy
Houston, TX 77034-1857

Phone

(346) 410-5465

Fax

(346) 410-5466

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Yadira Santiago, DC

Title

Owner

Phone

(346) 410-5465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1346875929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341857",
            "telephone_number": "346-410-5465",
            "fax_number": "346-410-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770341857",
            "telephone_number": "346-410-5465",
            "fax_number": "346-410-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-410-5465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.