Organization Active NPI

Heights Total Wellness Clinic, PLLC

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1396379772
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HEIGHTS TOTAL WELLNESS CLINIC, PLLC
Practice address
1801 Durham Dr Ste 4
Houston, TX 77007-2272
Phone
(800) 246-5698
Fax
(972) 637-9272
NPI assigned
Feb 25, 2020
Last updated
Oct 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MENS T CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Jessica Duke
Title
VP
Phone
(321) 305-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

1801 Durham Dr Ste 4
Houston, TX 77007-2272

Mailing address

5000 Eldorado Pkwy
Box 150-153
Frisco, TX 75033-8695
Phone (321) 305-9515

Other practice location 1

5000 Eldorado Pkwy # 153
Frisco, TX 75033-8695
Phone (321) 305-9515

National Provider Directory

National Provider Directory

Locations

5000 Eldorado Pkwy
#150153
Frisco, TX 75033

5000 Eldorado Pkwy
#153
Frisco, TX 75033
Phone (321) 305-9515

1801 Durham Dr
Ste 4
Houston, TX 77007
Phone (214) 506-2610

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1396379772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY",
            "address_2": "BOX 150-153",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750338695",
            "telephone_number": "321-305-9515",
            "fax_number": "972-637-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 DURHAM DR STE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072272",
            "telephone_number": "800-246-5698",
            "fax_number": "972-637-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Eldorado Pkwy # 153",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750338695",
            "country_code": "US",
            "telephone_number": "321-305-9515",
            "fax_number": "972-637-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEIGHTS TOTAL WELLNESS CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENS T CLINIC LLC",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "321-305-9515"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2021; 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.