Northeast Houston One Medical Group, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NORTHEAST HOUSTON ONE MEDICAL GROUP, PLLC

Practice address

2665 Royal FRST Ste B-150
Kingwood, TX 77339-5045

Phone

(832) 899-5618

NPI assigned

Dec 27, 2021

Last updated

Dec 27, 2021By 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

Welton Wayne Wilson

Title

Manager

Phone

(281) 429-8526

Specialties & licenses 1

Addresses

Tax ID family

Northeast Houston One Medical Group PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Houston One Medical Group, PLLC

  • Primary Care Clinic/Center
  • Humble, TX
  • NPI 1144987876
  NPD tax ID
• Northeast Houston One Medical Group, PLLC

  • Primary Care Clinic/Center
  • Tomball, TX
  • NPI 1780264390
  NPD tax ID

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1518627918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 N ELDRIDGE PKWY STE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773779130",
            "telephone_number": "281-429-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FRST STE B-150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "832-899-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HOUSTON ONE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WELTON",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-429-8526"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L. Norman, DDS
• Dominique Norris, MD
• North Houston Anesthesiologists, PA
• North Houston Heart and Vascular Associates, PA (Houston Heart and Vascular Associates, PA)
• North Houston Pain Center LLC
• Northeast Imaging Center LLC
• Northeast OB/GYN Associates, LLP
• Northeast Oral & Maxillofacial Surgery
• Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
• Nova Health Pharmacy LLC

• Primary Care Clinic/Center in Kingwood, TX
• Providers in Kingwood, 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 Dec 27, 2021; 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.