Organization Active NPI

Mohit Bansal MD, PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1366795239
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3476 Issued in TX
Legal business name
MOHIT BANSAL MD, PA
Practice address
2310 FM 1960 Rd W
Suite B
Houston, TX 77068-3727
Phone
(832) 592-7712
Fax
(832) 380-7998
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Mr. Mohit Bansal, MD
Title
Owner
Phone
(832) 592-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N3476 TX Primary

Addresses

Primary practice location

2310 FM 1960 Rd W
Suite B
Houston, TX 77068-3727

Mailing address

2310 FM 1960 Rd W
Suite B
Houston, TX 77068-3727
Phone (832) 592-7712

Other identifiers 1

IdentifierTypeStateIssuer
0049XTOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

2310 FM 1960 Rd W
Houston, TX 77068
Phone (281) 444-9214

2310 FM 1960 Rd W
Ste B
Houston, TX 77068
Phone (713) 333-7982

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1366795239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 FM 1960 RD W",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683727",
            "telephone_number": "832-592-7712",
            "fax_number": "832-380-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 FM 1960 RD W",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683727",
            "telephone_number": "832-592-7712",
            "fax_number": "832-380-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHIT BANSAL MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-592-7712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0049XT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 17, 2012; 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.