Fourth Ward Clinic

Primary specialty

MidwifeTaxonomy code 176B00000X

License

228530 Issued in TX

Legal business name

FOURTH WARD CLINIC

Practice address

277 W Gray St
Houston, TX 77019-5419

Phone

(713) 529-3597

Fax

(713) 529-9169

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Janet S. Donath

Title

Executive Director

Phone

(713) 529-3597

Specialties & licenses 1

Addresses

Other names 1

• Good Neighbor Healthcare Center Doing business as

Tax ID family

Fourth Ward Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Fourth Ward Clinic

  • Federally Qualified Health Center (FQHC)
  • Cypress, TX
  • NPI 1376098509
  NPD tax ID
• Fourth Ward Clinic

  • Midwife
  • Houston, TX
  • NPI 1417082926
  NPD tax ID
• Fourth Ward Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1730472002
  NPD tax ID

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407981913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195419",
            "telephone_number": "713-529-3597",
            "fax_number": "713-529-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195419",
            "telephone_number": "713-529-3597",
            "fax_number": "713-529-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH WARD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONATH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-529-3597"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "TX",
            "license": "228530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabelle Fournier, MD
• Keith Francis Fournier, M.D.
• Maxime Fournier, DDS
• Rene Fournier, DMD
• Fourth Dimension Counseling Services
• Fourth Ward Clinic
• Fourth Ward Clinic
• Fourth Ward Clinic
• Fourtoon Inc
• Kerri Foutz

• Midwife in Houston, TX
• Providers in Houston, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.