Southwest Sids Research Institute, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHWEST SIDS RESEARCH INSTITUTE, INC.

Practice address

230 Parking Way St
Lake Jackson, TX 77566-5227

Phone

(979) 297-2101

Fax

(979) 297-6682

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judith Ann Henslee, LMSW

Title

Executive Director

Phone

(979) 297-2101

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southwest Sids Research Institute Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Sids Research Institute, Inc.

  • Medical Specialty Clinic/Center
  • Lake Jackson, TX
  • NPI 1033178058
  NPD tax ID

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1477509883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665227",
            "telephone_number": "979-297-2101",
            "fax_number": "979-297-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665227",
            "telephone_number": "979-297-2101",
            "fax_number": "979-297-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SIDS RESEARCH INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HENSLEE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-297-2101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160588303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Square PLLC
• Allison Soriano
• South Texas Radiation Oncology PLLC
• South Texas Radiation Oncology PLLC
• Southwest Sids Research Institute, Inc.
• Frank Jesse Spates, OT
• Spence's Medical Center Pharmacy
• Kim Harrison Sperry, D.C.
• Marlyn Spradley-Bogan, COTA
• Springs Pediatrics Associates PLLC

• Durable Medical Equipment & Medical Supplies in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.