Servicios Gonzalez Bango LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SERVICIOS GONZALEZ BANGO LLC

Practice address

2351 Fry Rd
Katy, TX 77449-6219

Phone

(281) 717-8134

Fax

(281) 717-8140

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Lisbeth Luis

Title

Manager

Phone

(281) 717-8134

Specialties & licenses 1

Addresses

Other names 1

• Katy Centro Medico Hispano Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yadira Castro Gonzalez

  • Primary Care Nurse Practitioner
  • Cypress, TX
  • NPI 1427450493
  Medicare reassignment NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1457076291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496219",
            "telephone_number": "281-717-8134",
            "fax_number": "281-717-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496219",
            "telephone_number": "281-717-8134",
            "fax_number": "281-717-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS GONZALEZ BANGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "LUIS",
        "authorized_official_first_name": "LISBETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-717-8134"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy Centro Medico Hispano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Serna
• Mariel Serrano-Velez
• Maria Guadalupe Serrano, MSC, MA, LPC-I
• Sandra Serrano
• Salomon Elias Serur, SA-C
• Sevak Ohanian MD PA
• Seven Lakes Eye Care, Inc
• Seven Lakes Eye Care, PC
• Seven Meadows Dental
• Seven Meadows Vision

• Primary Care Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.