Clinica Klassica Medicina Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CLINICA KLASSICA MEDICINA INC

Practice address

5101 Harrisburg Blvd
Houston, TX 77011-4227

Phone

(832) 879-2443

Fax

(832) 879-2439

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Ifeoma Ndubuisi

Title

Ceo

Phone

(832) 879-2443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1477910891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114227",
            "telephone_number": "832-879-2443",
            "fax_number": "832-879-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114227",
            "telephone_number": "832-879-2443",
            "fax_number": "832-879-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA KLASSICA MEDICINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "NDUBUISI",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-879-2443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.