KKT Medical, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M3667 Issued in TX

Legal business name

KKT MEDICAL, PLLC

Doing business as

Prime Medical Clinic

Practice address

2615 Strawberry Road
Pasadena, TX 77502

Phone

(281) 501-0705

NPI assigned

Nov 23, 2010

Last updated

Nov 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Thanh Nguyen, M.D.NPI 1174547319

Title

Director

Phone

(832) 858-1998

Specialties & licenses 1

Addresses

Other names 1

• Prime Medical Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Thanh Nguyen, M.D.

  • Internal Medicine Physician
  • Galveston, TX
  • NPI 1174547319
  NPD Authorized official

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1487956553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 STRAWBERRY ROAD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "281-501-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 STRAWBERRY ROAD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "281-501-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKT MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-858-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kingdom Class Pediatric Therapy
• Beau Kirkwood, DO
• John D Kirkwood, DO
• Milton E Kirkwood, DO
• Ronald W Kirkwood, DO
• Kim Martin Klecka, DDS
• Tracy Lee Klimisch, PA-C
• Megan Kline, FNP-C
• KND Development 59 LLC
• Bradley Raymond Koby, D.C.

• Primary Care Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.