McGowen St. Children'S Clinic & Preventive Medicine Institute

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G0899 Issued in TX

Legal business name

MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE

Practice address

2900 Smith St
Ste 101
Houston, TX 77006-3446

Phone

(713) 655-1006

Fax

(713) 571-9630

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gwendolyn Elizabeth Brobbey, M.D.,MPH

Title

Physician/Owner/Pres.of Corporation

Phone

(713) 655-1006

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Professional organization Other name

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386689958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667638",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772667638",
            "telephone_number": "713-655-1006",
            "fax_number": "713-571-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SMITH ST",
            "address_2": "STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063446",
            "telephone_number": "713-655-1006",
            "fax_number": "713-571-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BROBBEY",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/PRES.OF CORPORATION",
        "authorized_official_telephone_number": "713-655-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,MPH"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G0899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BD OF PEDIATRICS",
            "identifier": "31381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "236-282-0",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BD OF REGISTRATION",
            "identifier": "48268",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. BD OF MED EXAMINERS",
            "identifier": "G0899",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DPS NUMBER",
            "identifier": "S0045716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raven Antionette McGowan
• Saundra Lafredia McGowan
• Sharlene Michele McGowan
• Tanya McGowan, CRNA
• Tiffiny Lynn McGowan, FNP
• Lavonda McGowen, RBT
• Chasity McGrady
• Margaret McGrane, OT
• Monica A. McGrann, MD
• Kaitlin McGrath, CNM

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.