Extra Care PHP

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

EXTRA CARE PHP

Practice address

10101 Bissonnet St Ste 120
Houston, TX 77036-7855

Phone

(281) 888-6933

Fax

(281) 888-6905

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Turner

Title

President

Phone

(281) 888-6933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1366731473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "281-888-6933",
            "fax_number": "281-888-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "281-888-6933",
            "fax_number": "281-888-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE PHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-888-6933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.