The Neighborhood Clinic PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

647853 Issued in TX

Legal business name

THE NEIGHBORHOOD CLINIC PLLC

Practice address

9910 Fuqua St
Suite G
Houston, TX 77075-5169

Phone

(713) 496-0564

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Jacqueline Allen Jessie, RN, FNP

Title

President

Phone

(281) 248-1383

Specialties & licenses 1

Addresses

Other names 1

• The Neighborhood Clinic Doing business as

Locations

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1487933800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FUQUA ST",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770755169",
            "telephone_number": "713-496-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 FUQUA ST",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770755169",
            "telephone_number": "713-496-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEIGHBORHOOD CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "JESSIE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-248-1383",
        "authorized_official_credential": "RN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "647853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neighborhood Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.