NPIMap

Organization Active NPI

Ut Physicians

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1417401258
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UT PHYSICIANS
Practice address
10623 Bellaire Blvd
Suite C280
Houston, TX 77072-5242
Phone
(713) 486-5900
Fax
(713) 486-5901
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Mr. Fahad Kamal, MBA,MS, CLSSGB
Title
Practice Administrator
Phone
(713) 486-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10623 Bellaire Blvd
Suite C280
Houston, TX 77072-5242

Mailing address

10623 Bellaire Blvd
Suite C280
Houston, TX 77072-5242
Phone (713) 486-5900

Other identifiers 5

IdentifierTypeStateIssuer
1073811832MedicaidTX
1457775058MedicaidTX
1194919027MedicaidTX
1225299753MedicaidTX
1407248149MedicaidTX

Other names 1

  • UT Physicians Community Health & Wellness Center -Southwest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anesthesiology Ucp68 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

10623 Bellaire Blvd
Ste C280
Houston, TX 77072
Phone (713) 486-5900

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1417401258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10623 BELLAIRE BLVD",
            "address_2": "SUITE C280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725242",
            "telephone_number": "713-486-5900",
            "fax_number": "713-486-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 BELLAIRE BLVD",
            "address_2": "SUITE C280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725242",
            "telephone_number": "713-486-5900",
            "fax_number": "713-486-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "713-486-5915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA,MS, CLSSGB"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073811832",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457775058",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194919027",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225299753",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407248149",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Physicians Community Health & Wellness Center -Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 2016; 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.