Organization Active NPI

N & K Multispecialty LLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1417382474
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
N & K MULTISPECIALTY LLC
Practice address
17030 Nanes Dr Ste 109
Houston, TX 77090-2500
Phone
(713) 873-8100
Fax
(713) 873-8101
NPI assigned
Sep 10, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Lily Woldu, OT
Title
Member
Phone
(832) 331-8450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17030 Nanes Dr Ste 109
Houston, TX 77090-2500

Mailing address

17030 Nanes Dr Ste 109
Houston, TX 77090-2500
Phone (713) 873-8100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1417382474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902500",
            "telephone_number": "713-873-8100",
            "fax_number": "713-873-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902500",
            "telephone_number": "713-873-8100",
            "fax_number": "713-873-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & K MULTISPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "WOLDU",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-331-8450",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Sep 11, 2013; 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.