Organization Active NPI

Selam Medical Clinic

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1447557780
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06735 Issued in TX
Legal business name
SELAM MEDICAL CLINIC
Practice address
6440 Hillcroft St Ste 104
Houston, TX 77081-3104
Phone
(562) 310-1270
Fax
(713) 929-3621
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Mr. Rediet B Araya, PAC
Title
Proprietor
Phone
(562) 310-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA06735 TX Primary

Addresses

Primary practice location

6440 Hillcroft St Ste 104
Houston, TX 77081-3104

Mailing address

6440 Hillcroft St Ste 104
Houston, TX 77081-3104
Phone (562) 310-1270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1447557780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 HILLCROFT ST STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813104",
            "telephone_number": "562-310-1270",
            "fax_number": "713-929-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 HILLCROFT ST STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813104",
            "telephone_number": "562-310-1270",
            "fax_number": "713-929-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAM MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "ARAYA",
        "authorized_official_first_name": "REDIET",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "562-310-1270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06735",
            "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 Mar 3, 2011; 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.