Active NPI
Guerison Interests LLLP
- Emergency Care Clinic/Center
- Katy, TX
National Provider Identifier
1447596382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 160053
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.