Organization Active NPI

Kirkwood Medical Service Inc

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1437428349
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KIRKWOOD MEDICAL SERVICE INC
Practice address
9100 Southwest Fwy
215
Houston, TX 77074-1519
Phone
(713) 777-1508
Fax
(713) 777-1509
NPI assigned
Dec 21, 2011
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Bang Ba Chu, M.D.
Title
Owner
Phone
(713) 777-1508

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X F1361 TX

Addresses

Primary practice location

9100 Southwest Fwy
215
Houston, TX 77074-1519

Mailing address

9100 Southwest Fwy Ste 215
Houston, TX 77074-1513
Phone (713) 777-1508

National Provider Directory

National Provider Directory

Locations

7474 S Kirkwood Rd
Ste 103
Houston, TX 77072
Phone (281) 495-5566

9100 Southwest Fwy
Ste 215
Houston, TX 77074
Phone (713) 777-1508

Practitioners & affiliated clinicians

Practitioners 2

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": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1437428349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741513",
            "telephone_number": "713-777-1508",
            "fax_number": "713-777-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SOUTHWEST FWY",
            "address_2": "215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741519",
            "telephone_number": "713-777-1508",
            "fax_number": "713-777-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BANG",
        "authorized_official_middle_name": "BA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-777-1508",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "F1361",
            "primary": false
        }
    ],
    "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 Nov 8, 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.