DJR Community Health Clinic

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DJR COMMUNITY HEALTH CLINIC

Practice address

1937 Texas Pkwy
Missouri City, TX 77489-3121

Phone

(832) 539-1416

Fax

(832) 539-1478

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Glynis Griffin

Title

Director of Client Services

Phone

(832) 539-1416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1396250528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 TEXAS PKWY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893121",
            "telephone_number": "832-539-1416",
            "fax_number": "832-539-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 TEXAS PKWY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893121",
            "telephone_number": "832-539-1416",
            "fax_number": "832-539-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJR COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GLYNIS",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "832-539-1416"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.