Organization Active NPI

Guerison Interests LLLP

  • Emergency Care Clinic/Center
  • Katy, TX
National Provider Identifier
1447596382
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
160053 Issued in TX
Legal business name
GUERISON INTERESTS LLLP
Practice address
25765 Katy Fwy
Katy, TX 77494-1286
Phone
(281) 395-9900
NPI assigned
Dec 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Ethan Todd Brown, MD
Title
Owner
Phone
(281) 395-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 160053 TX Primary

Addresses

Primary practice location

25765 Katy Fwy
Katy, TX 77494-1286

Mailing address

25765 Katy Freeway
Katy, TX 77494
Phone (281) 395-9900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1447596382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25765 KATY FREEWAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-395-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25765 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941286",
            "telephone_number": "281-395-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUERISON INTERESTS LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-395-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.