Pure G Kids, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RO366 Issued in TX

Legal business name

PURE G KIDS, LLC

Practice address

21175 Tomball Pkwy Ste 379
Houston, TX 77070

Phone

(432) 701-0093

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tamika Bush, DONPI 1962113159

Title

Ceo

Phone

(432) 701-0093

Specialties & licenses 2

Addresses

Other names 1

• Pure G Kids Wellness Doing business as

Electronic endpoints 1

Practitioners 1

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

• Tamika Cherron Bush, D.O.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1962113159
  NPD Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1467945865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY STE 379",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655",
            "telephone_number": "432-701-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21175 TOMBALL PKWY STE 379",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "432-701-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE G KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-701-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "RO366",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Houston",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Houston",
            "address_1": "21175 Tomball Pkwy Ste 379",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pure G Kids Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pure Care Medical Transportation
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• Pure Foot and Ankle Center PLLC
• Pure Health and Wellness
• Pure Hope Counseling PLLC
• Pure One Infusion LLC
• Pure Prosthodontics
• Pure Sleep Solutions

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.