NPIMap

Organization Active NPI

Gulfton Medical Clinic

Doing business as Gulfton Medical Clinic PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1457672107
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GULFTON MEDICAL CLINIC
Doing business as
Gulfton Medical Clinic PA
Practice address
6306 Gulfton St
Ste. 101
Houston, TX 77081-1117
Phone
(713) 523-0111
Fax
(713) 484-7204
NPI assigned
Jun 17, 2010
Last updated
May 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Richard W Walker Jr., M. D.NPI 1982880357
Title
Owner/Director
Phone
(713) 523-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6306 Gulfton St
Ste. 101
Houston, TX 77081-1117

Mailing address

6306 Gulfton St
Ste. 101
Houston, TX 77081-1117
Phone (713) 523-0111

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Other names 1

  • Gulfton Medical Clinic PA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1457672107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 GULFTON ST",
            "address_2": "STE. 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811117",
            "telephone_number": "713-523-0111",
            "fax_number": "713-484-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 GULFTON ST",
            "address_2": "STE. 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811117",
            "telephone_number": "713-523-0111",
            "fax_number": "713-484-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFTON MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "713-523-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulfton Medical Clinic PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 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.