Organization Active NPI

Memphis Clinics LLC

  • Clinic/Center
  • Memphis, TN
National Provider Identifier
1366863193
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEMPHIS CLINICS LLC
Practice address
5084 Old Summer Rd
Memphis, TN 38122-4403
Phone
(901) 244-4224
Fax
(901) 244-4221
NPI assigned
Dec 20, 2013
Last updated
Dec 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Mr. John Cruise
Title
Chief Operations Officer
Phone
(281) 724-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5084 Old Summer Rd
Memphis, TN 38122-4403

Mailing address

2626 S Loop W Ste 260
Houston, TX 77054-2849
Phone (281) 724-7788

National Provider Directory

National Provider Directory
Tax ID family
Castillo Torres MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5084 Old Summer Rd
Memphis, TN 38122
Phone (901) 283-3486

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1366863193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542849",
            "telephone_number": "281-724-7788",
            "fax_number": "713-838-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 OLD SUMMER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224403",
            "telephone_number": "901-244-4224",
            "fax_number": "901-244-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "CRUISE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "281-724-7788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.