Organization Active NPI

Premier Clinic PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1467010660
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER CLINIC PLLC
Practice address
13311 Hargrave Rd Ste 120B
Houston, TX 77070-4313
Phone
(713) 213-2761
Fax
(281) 890-6865
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Mr. Imran Raheem Poonawala, DO
Title
President
Phone
(713) 213-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13311 Hargrave Rd Ste 120B
Houston, TX 77070-4313

Mailing address

13311 Hargrave Rd Ste 120B
Houston, TX 77070-4313
Phone (713) 213-2761

National Provider Directory

National Provider Directory

Locations

13311 Hargrave Rd
Ste 120B
Houston, TX 77070
Phone (281) 890-6800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1467010660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 HARGRAVE RD STE 120B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704313",
            "telephone_number": "713-213-2761",
            "fax_number": "281-890-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 HARGRAVE RD STE 120B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704313",
            "telephone_number": "713-213-2761",
            "fax_number": "281-890-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "POONAWALA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "RAHEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-213-2761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jan 14, 2022; 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.