Organization Active NPI

Excellence Clinic of Texas, PLLC

Doing business as Excellence Clinic

  • Occupational Medicine Clinic/Center
  • Houston, TX
National Provider Identifier
1396119137
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
EXCELLENCE CLINIC OF TEXAS, PLLC
Doing business as
Excellence Clinic
Practice address
15119 Wallisville Rd Ste 200
Houston, TX 77049-4629
Phone
(281) 977-9800
NPI assigned
Nov 17, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Mr. Kashif Ansari
Title
Ceo
Phone
(832) 221-8072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

15119 Wallisville Rd Ste 200
Houston, TX 77049-4629

Mailing address

15119 Wallisville Rd Ste 200
Houston, TX 77049-4629
Phone (281) 977-9800

Other names 1

  • Excellence Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

15119 Wallisville Rd
Ste 200
Houston, TX 77049
Phone (281) 977-9800

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1396119137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 WALLISVILLE RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494629",
            "telephone_number": "281-977-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15119 WALLISVILLE RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494629",
            "telephone_number": "281-977-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE CLINIC OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-221-8072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.