Wilcrest Medical Clinic Inc.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

E6756 Issued in TX

Legal business name

WILCREST MEDICAL CLINIC INC.

Practice address

11732 Wilcrest Drive
Houston, TX 77099-4757

Phone

(281) 498-4357

Fax

(281) 498-4140

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ralph F Coleman, M.D.

Title

President

Phone

(281) 498-4357

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1508099136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11732 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994757",
            "telephone_number": "281-498-4357",
            "fax_number": "281-498-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11732 WILCREST DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994757",
            "telephone_number": "281-498-4357",
            "fax_number": "281-498-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCREST MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-498-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "E6756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawana Charlet Wilcoxon
• Falon Wilcoxson
• Wilcrest Chiropractic Center
• Wilcrest Cpap'S
• Wilcrest DME Supply LLC
• Wilcrest Physical Therapy, PC
• Jared Nathaniel Wilczynski, NP
• Wild Rose Hospice, LLC.
• Wild Smiles Dental Center of Houston, PLLC
• Alexandra Wild, PA

• Adult Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.