I-10 Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M7120 Issued in TX

Legal business name

I-10 FAMILY CLINIC

Practice address

11929 East Fwy
Suite D
Houston, TX 77029-2025

Phone

(713) 637-8665

NPI assigned

Feb 16, 2010

Last updated

Jun 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Prentiss Lee Harrison

Title

Ceo

Phone

(713) 637-8665

Specialties & licenses 3

Addresses

Locations

Practitioners 4

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.

• Dominique Walton Brooks, MD

  • General Practice Physician
  • Houston, TX
  • NPI 1699003129
  NPD (past)
• Warren B Dailey, MD

  • Specialist
  • Houston, TX
  • NPI 1073555389
  NPD (past)
• Carl Emil Fasser, PA

  • Physician Assistant
  • Houston, TX
  • NPI 1992027874
  NPD (past)
• Harding Dudley Ross, M.D.

  • Specialist
  • Houston, TX
  • NPI 1427034271
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1386966505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11929 EAST FWY",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292025",
            "telephone_number": "713-637-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 EAST FWY",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292025",
            "telephone_number": "713-637-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-10 FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "PRENTISS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-637-8665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00256",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00114",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I-10 Atrium Pharmacy Inc
• I-10 Dental Associates (Gamble Dental / Hi Dental Care)
• I-10 Dental Care Service PLLC (Hi Dental Care)
• I-10 Ear Nose and Throat PA
• I-10 East Chiropractic Clinic
• I-Care EMS Inc.
• I-Care Systems, Inc (Dba: I-Care Home Health)
• I-Cats R US
• I-Imaging, PA (Mobile I-Imaging)
• I-Kia Vision Center PLLC (Icare Clinic)

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.