Organization Active NPI

Icare Clinic PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1366925240
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3399 Issued in TX
Legal business name
ICARE CLINIC PLLC
Practice address
13333 Dotson Rd Ste 140
Houston, TX 77070-4305
Phone
(281) 890-6800
Fax
(281) 890-6865
NPI assigned
Sep 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Usha Patel
Title
Office Manager
Phone
(281) 890-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X K3399 TX Primary

Addresses

Primary practice location

13333 Dotson Rd Ste 140
Houston, TX 77070-4305

Mailing address

20202 Tamerton Dr
Spring, TX 77388-3182
Phone (281) 890-6800

Other identifiers 1

IdentifierTypeStateIssuer
043996001MedicaidTX

National Provider Directory

National Provider Directory

Locations

13311 Hargrave Rd
Houston, TX 77070
Phone 2818906800107

Practitioners & affiliated clinicians

Practitioners 3

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": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1366925240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20202 TAMERTON DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883182",
            "telephone_number": "281-890-6800",
            "fax_number": "281-890-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "281-890-6800",
            "fax_number": "281-890-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-890-6800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043996001",
            "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 Sep 7, 2018; 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.