NPIMap

Organization Active NPI

Houston Male Health Clinic, PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1528503257
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOUSTON MALE HEALTH CLINIC, PLLC
Practice address
1801 Durham Dr
Suite 4
Houston, TX 77007-2271
Phone
(214) 506-2610
NPI assigned
Jan 4, 2017
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Salvatore R Campo
Title
Owenr / Director / Physician
Phone
(214) 506-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1801 Durham Dr
Suite 4
Houston, TX 77007-2271

Mailing address

12221 Merit Dr
Suite 620
Dallas, TX 75251-2202

National Provider Directory

National Provider Directory

Locations

12221 Merit Dr
Ste 620
Dallas, TX 75251
Phone (214) 506-2610

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1528503257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR",
            "address_2": "SUITE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 DURHAM DR",
            "address_2": "SUITE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072271",
            "telephone_number": "214-506-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON MALE HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWENR / DIRECTOR / PHYSICIAN",
        "authorized_official_telephone_number": "214-506-2610"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Feb 17, 2017; 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.