Organization Active NPI

Hospitality Primary Care

  • Primary Care Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1386260479
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOSPITALITY PRIMARY CARE
Practice address
4734 LJ Pkwy Ste 310
Sugar Land, TX 77479-6814
Phone
(281) 778-7210
Fax
(281) 778-7212
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Jared Shahan, MD
Title
Owner/MD
Phone
(281) 778-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4734 LJ Pkwy Ste 310
Sugar Land, TX 77479-6814

Mailing address

4734 LJ Pkwy Ste 310
Sugar Land, TX 77479-6814
Phone (281) 778-7210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1386260479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 LJ PKWY STE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796814",
            "telephone_number": "281-778-7210",
            "fax_number": "281-778-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 LJ PKWY STE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796814",
            "telephone_number": "281-778-7210",
            "fax_number": "281-778-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALITY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAHAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "281-778-7210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.