Organization Active NPI

U.S. Occmed Texas, PLLC

Doing business as Nova Medical Centers

  • Occupational Medicine Physician
  • Houston, TX
National Provider Identifier
1376181693
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
U.S. OCCMED TEXAS, PLLC
Doing business as
Nova Medical Centers
Practice address
2425 Fountain View Dr Ste 160
Houston, TX 77057-4834
Phone
(713) 880-4400
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mark Pucek, MD
Title
President
Phone
(713) 880-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

2425 Fountain View Dr Ste 160
Houston, TX 77057-4834

Mailing address

2425 Fountain View Dr Ste 160
Houston, TX 77057-4834

Other names 1

  • Nova Medical Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Medical Centers2 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.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1376181693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574834",
            "telephone_number": "713-880-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. OCCMED TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "PUCEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-880-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Medical Centers",
            "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 Dec 17, 2019; 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.