Organization Active NPI

Liver, Kidney Nad Internal Medicine Center

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1417958067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
J8034 Issued in TX
Legal business name
LIVER, KIDNEY NAD INTERNAL MEDICINE CENTER
Practice address
8300 Homestead Rd
Suite 4
Houston, TX 77028-2145
Phone
(713) 635-6996
Fax
(713) 635-6994
NPI assigned
Aug 4, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bryan C Lipsen, M.D.NPI 1437150083
Title
President
Phone
(713) 635-6996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X J8034 TX Primary

Addresses

Primary practice location

8300 Homestead Rd
Suite 4
Houston, TX 77028-2145

Mailing address

5116 Bissonnet St
Suite 327
Bellaire, TX 77401-4007

National Provider Directory

National Provider Directory
Tax ID family
Liver Kidney and Internal Medicine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8300 Homestead Rd
Ste 4
Houston, TX 77028
Phone (281) 846-6542

Practitioners & affiliated clinicians

Practitioners 1

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": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417958067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 BISSONNET ST",
            "address_2": "SUITE 327",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HOMESTEAD RD",
            "address_2": "SUITE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770282145",
            "telephone_number": "713-635-6996",
            "fax_number": "713-635-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVER, KIDNEY NAD INTERNAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPSEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-635-6996",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "J8034",
            "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 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.