Organization Active NPI

Jose V. Iglesias MD PA

  • Specialist
  • Houston, TX
National Provider Identifier
1376873885
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E1343 Issued in TX
Legal business name
JOSE V. IGLESIAS MD PA
Practice address
17203 Red Oak Dr Ste 202
Houston, TX 77090-2613
Phone
(281) 444-9400
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Jose Victor Iglesias, MDNPI 1427030196
Title
President
Phone
(281) 444-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E1343 TX Primary

Addresses

Primary practice location

17203 Red Oak Dr Ste 202
Houston, TX 77090-2613

Mailing address

17203 Red Oak Dr Ste 202
Houston, TX 77090-2613
Phone (281) 444-9400

Other names 1

  • Peripheral Vascular Center Other name

National Provider Directory

National Provider Directory

Locations

17203 Red Oak Dr
Ste 202
Houston, TX 77090
Phone (281) 444-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1376873885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902613",
            "telephone_number": "281-444-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902613",
            "telephone_number": "281-444-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE V. IGLESIAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-444-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peripheral Vascular Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 4, 2016; 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.