NPIMap

Organization Active NPI

Medstar Primary Care Clinic P.a.

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1508015835
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M9410 Issued in TX
Legal business name
MEDSTAR PRIMARY CARE CLINIC P.A.
Practice address
14629 Beechnut St
Houston, TX 77083-4436
Phone
(281) 933-4447
Fax
(281) 933-5557
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Rachel Chundenu Kientcha - Tita, M.DNPI 1306919162
Title
Medical Director
Phone
(832) 545-4614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M9410 TX Primary

Addresses

Primary practice location

14629 Beechnut St
Houston, TX 77083-4436

Mailing address

14629 Beechnut St
Houston, TX 77083-4436
Phone (281) 933-4447

Other names 1

  • Medstar Primary care Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1508015835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770834436",
            "telephone_number": "281-933-4447",
            "fax_number": "281-933-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770834436",
            "telephone_number": "281-933-4447",
            "fax_number": "281-933-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR PRIMARY CARE CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "KIENTCHA - TITA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "CHUNDENU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-545-4614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M9410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medstar Primary care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 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.