Organization Active NPI

Kingspoint Home Visiting Physicians

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1497430128
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KINGSPOINT HOME VISITING PHYSICIANS
Practice address
14200 Gulf Fwy
Houston, TX 77034-5369
Phone
(832) 774-1330
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Mr. Bertrand K Ebang
Title
Managing Partner
Phone
(832) 774-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14200 Gulf Fwy
Houston, TX 77034-5369

Mailing address

10 Santa Clarita Cir
Manvel, TX 77578-3352
Phone (832) 774-1330

Other practice location 1

10 Santa Clarita Cir
Manvel, TX 77578-3352
Phone (832) 774-1330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1497430128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SANTA CLARITA CIR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783352",
            "telephone_number": "832-774-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345369",
            "telephone_number": "832-774-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Santa Clarita Cir",
            "address_purpose": "LOCATION",
            "city": "Manvel",
            "state": "TX",
            "postal_code": "775783352",
            "country_code": "US",
            "telephone_number": "832-774-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGSPOINT HOME VISITING PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "EBANG",
        "authorized_official_first_name": "BERTRAND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "832-774-1330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jun 27, 2024; 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.