PCP at Home Management Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PCP AT HOME MANAGEMENT INC

Practice address

363 N Sam Houston Pkwy E Ste 350
Houston, TX 77060-2499

Phone

(713) 205-0434

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By 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

Miguel Fraire

Title

Vice President

Phone

(713) 205-0434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1437744174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 N SAM HOUSTON PKWY E STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770602499",
            "telephone_number": "713-205-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N SAM HOUSTON PKWY E STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770602499",
            "telephone_number": "713-205-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 N Sam Houston Pkwy E Ste 350",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770602499",
            "country_code": "US",
            "telephone_number": "713-205-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PCP AT HOME MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "FRAIRE",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-205-0434"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.