Clifford O. Mishaw, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F4293 Issued in TX

Legal business name

CLIFFORD O. MISHAW, M.D., P.C.

Practice address

6410 Fannin St Ste 410
Houston, TX 77030-3005

Phone

(713) 796-8300

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Owen Mishaw, M.D.

Title

President

Phone

(713) 796-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1356508212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303005",
            "telephone_number": "713-796-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303005",
            "telephone_number": "713-796-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD O. MISHAW, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "MISHAW",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-796-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F4293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Marietta Clewing, M.D.
• Michelle C Clewis
• Tyra D Clewis, R.PH.
• CLFP MHT LLC
• Carla Norris Click, NP
• Andrew David Clifford, MOT, OTR/L, ATP
• Christi Van Clifford, D.D.S.
• Patrice Wendy Clifford, PHARM.D.
• Tom Clifford
• Clift Home Care, LLC

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.