Organization Active NPI

Andres H Keichian, MD, PA

Doing business as South Texas Therapy Center

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1366657561
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E3338 Issued in TX
Legal business name
ANDRES H KEICHIAN, MD, PA
Doing business as
South Texas Therapy Center
Practice address
3003 South Loop W
Suite 505
Houston, TX 77054-1375
Phone
(713) 218-9443
Fax
(713) 218-9447
NPI assigned
May 11, 2007
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Andres Hugo Keichian, MDNPI 1225020019
Title
Owner
Phone
(713) 218-9443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E3338 TX Primary

Addresses

Primary practice location

3003 South Loop W
Suite 505
Houston, TX 77054-1375

Mailing address

3003 South Loop W
Suite 505
Houston, TX 77054-1375
Phone (713) 218-9443

Other identifiers 1

IdentifierTypeStateIssuer
204037001MedicaidTX

Other names 1

  • SOUTH TEXAS THERAPY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080415000169 TX Part B Supplier - Clinic/Group Practice 7012095102 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

3003 S Loop W
Ste 505
Houston, TX 77054
Phone (713) 218-9443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1366657561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP W",
            "address_2": "SUITE 505",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541375",
            "telephone_number": "713-218-9443",
            "fax_number": "713-218-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP W",
            "address_2": "SUITE 505",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541375",
            "telephone_number": "713-218-9443",
            "fax_number": "713-218-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES H KEICHIAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "KEICHIAN",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-218-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E3338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204037001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH TEXAS THERAPY CENTER",
            "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 May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.