Houston Travel Medicine Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L8234 Issued in TX

Legal business name

HOUSTON TRAVEL MEDICINE CLINIC

Practice address

2000 Crawford St
Suite 1105 St. Joseph Professional Building
Houston, TX 77002-9005

Phone

(713) 652-4900

Fax

(713) 652-4902

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Marie Word, MD

Title

Director

Phone

(713) 652-4900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1396035762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "SUITE 1105 ST. JOSEPH PROFESSIONAL BUILDING",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029005",
            "telephone_number": "713-652-4900",
            "fax_number": "713-652-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "SUITE 1105 ST. JOSEPH PROFESSIONAL BUILDING",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029005",
            "telephone_number": "713-652-4900",
            "fax_number": "713-652-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON TRAVEL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "WORD",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-652-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L8234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.