Organization Active NPI

Montgomery Internal Medicine PLLC

  • Internal Medicine Physician
  • Tomball, TX
National Provider Identifier
1396210910
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONTGOMERY INTERNAL MEDICINE PLLC
Practice address
425 Holderrieth Blvd Ste 108
Tomball, TX 77375-4551
Phone
(973) 444-7123
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Aparna Methuku Kura, MD
Title
Manager
Phone
(973) 444-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

425 Holderrieth Blvd Ste 108
Tomball, TX 77375-4551

Mailing address

11 Spruce Canyon PL
The Woodlands, TX 77382-2758
Phone (973) 444-7123

National Provider Directory

National Provider Directory

Locations

150 Pine Forest Dr
Ste 602
Shenandoah, TX 77384
Phone (281) 440-8430

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1396210910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SPRUCE CANYON PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822758",
            "telephone_number": "973-444-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 108",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754551",
            "telephone_number": "973-444-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "KURA",
        "authorized_official_first_name": "APARNA",
        "authorized_official_middle_name": "METHUKU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-444-7123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.