Organization Active NPI

Medical Diagnostic Consultants PA

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1487831236
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
MEDICAL DIAGNOSTIC CONSULTANTS PA
Practice address
5900 Memorial Dr Ste 215
Houston, TX 77007-8030
Phone
(713) 861-4114
Fax
(281) 605-1966
NPI assigned
Jan 23, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Ms. Angelia D Kolenda
Title
Administrator
Phone
(713) 861-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

5900 Memorial Dr Ste 215
Houston, TX 77007-8030

Mailing address

PO Box 980308
Houston, TX 77098-0308
Phone (713) 861-4114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1487831236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770980308",
            "telephone_number": "713-861-4114",
            "fax_number": "281-605-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078030",
            "telephone_number": "713-861-4114",
            "fax_number": "281-605-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KOLENDA",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-861-4114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "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 Jun 18, 2008; 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.