Organization Active NPI

West Bellfort LLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1356524698
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F6356 Issued in TX
Legal business name
WEST BELLFORT LLC
Doing business as
Clinica Rosa
Practice address
900 Wayside
Houston, TX 77011-2518
Phone
(713) 921-7246
Fax
(713) 921-7249
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Sandra Ann Shirah
Title
Cred Sup
Phone
(281) 646-1935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X F6356 TX Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

900 Wayside
Houston, TX 77011-2518

Mailing address

900 Wayside
Houston, TX 77011-2518
Phone (281) 646-1935

Other names 1

  • Clinica Rosa Doing business as

National Provider Directory

National Provider Directory

Locations

900 Wayside Dr
Houston, TX 77011
Phone (713) 641-7500

7015 Gulf Fwy
Ste 170
Houston, TX 77087
Phone (713) 921-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1356524698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WAYSIDE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "281-646-1935",
            "fax_number": "281-646-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WAYSIDE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-921-7246",
            "fax_number": "713-921-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BELLFORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SHIRAH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CRED SUP",
        "authorized_official_telephone_number": "281-646-1935",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "F6356",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Rosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 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.