Powerhouse Diagnostics

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

POWERHOUSE DIAGNOSTICS

Practice address

713 S Gordon St
Alvin, TX 77511-2863

Phone

(281) 607-6391

Fax

(832) 917-0660

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Barajas

Title

Compliance Officer

Phone

(281) 607-6391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1417492943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 SOUTH GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112863",
            "telephone_number": "281-607-6391",
            "fax_number": "832-917-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112863",
            "telephone_number": "281-607-6391",
            "fax_number": "832-917-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERHOUSE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "BARAJAS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "281-607-6391"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Alvin, TX
• Providers in Alvin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.