Organization Active NPI

Central Houston Clinic

  • Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1487953386
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
D6352 Issued in TX
Legal business name
CENTRAL HOUSTON CLINIC
Practice address
15622 Siver Ridge Drive
Houston, TX 77090-3704
Phone
(281) 444-0929
Fax
(281) 440-9294
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. John W Young, M.D
Title
Doctor
Phone
(281) 440-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X D6352 TX Primary

Addresses

Primary practice location

15622 Siver Ridge Drive
Houston, TX 77090-3704

Mailing address

15622 Siver Ridge Drive
Houston, TX 77090-3704
Phone (281) 444-0929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1487953386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 SIVER RIDGE DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903704",
            "telephone_number": "281-444-0929",
            "fax_number": "281-440-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15622 SIVER RIDGE DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903704",
            "telephone_number": "281-444-0929",
            "fax_number": "281-440-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HOUSTON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-440-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "D6352",
            "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 Jul 6, 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.