Active NPI
Specialty Clinics of Space City PA
- Internal Medicine Physician
- Webster, TX
National Provider Identifier
1376974519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SPECIALTY CLINICS OF SPACE CITY PA
- Practice address
- 560 Blossom St Ste C
Webster, TX 77598-4237 - Phone
- (832) 905-6141
- Fax
- (832) 200-3259
- NPI assigned
- Dec 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aruna Agraharkar, MD
- Title
- President
- Phone
- (832) 905-6141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
560 Blossom St Ste C
Webster, TX 77598-4237
Mailing address
2301 Carina CT
League City, TX 77573-2879
Phone (713) 589-3320
Other practice location 1
2301 Carina Ct
League City, TX 77573-2879
Phone (713) 589-3320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6510 Memorial Dr
Texas City, TX 77591
Phone (409) 933-0733
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Webster, TX
- NPI 1316044126
-
- Family Nurse Practitioner
- Conroe, TX
- NPI 1932758042
-
- Nephrology Physician
- Webster, TX
- NPI 1376747303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1376974519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CARINA CT",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732879",
"telephone_number": "713-589-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 BLOSSOM ST STE C",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984237",
"telephone_number": "832-905-6141",
"fax_number": "832-200-3259"
}
],
"practiceLocations": [
{
"address_1": "2301 Carina Ct",
"address_purpose": "LOCATION",
"city": "League City",
"state": "TX",
"postal_code": "775732879",
"country_code": "US",
"telephone_number": "713-589-3320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPECIALTY CLINICS OF SPACE CITY PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "AGRAHARKAR",
"authorized_official_first_name": "ARUNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-905-6141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.