Organization Active NPI

Grace Clinic

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1487439386
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GRACE CLINIC
Practice address
3502 Liberty Rd
Houston, TX 77026-6243
Phone
(713) 417-0479
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Sheila Young, FNP-BC
Title
Ceo
Phone
(713) 417-0479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3502 Liberty Rd
Houston, TX 77026-6243

Mailing address

3502 Liberty Rd
Houston, TX 77026-6243
Phone (713) 417-0479

National Provider Directory

National Provider Directory

Locations

3502 Liberty Rd
Houston, TX 77026
Phone (713) 223-9934

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18148/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1487439386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 LIBERTY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770266243",
            "telephone_number": "713-417-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 LIBERTY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770266243",
            "telephone_number": "713-417-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-417-0479",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Aug 29, 2023; 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.