NPIMap

Organization Active NPI

Praetorian Medical Group LLC

Doing business as Praetorian Medical Group

  • Health Service Clinic/Center
  • Katy, TX
National Provider Identifier
1528576378
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRAETORIAN MEDICAL GROUP LLC
Doing business as
Praetorian Medical Group
Practice address
2900 Commercial Center Blvd Ste 102
Katy, TX 77494-6724
Phone
(813) 279-2729
Fax
(813) 279-2729
NPI assigned
Jan 15, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Dr. Kenneth Dewayne Lanier, PHARMDNPI 1689953267
Title
Officer
Phone
(303) 524-5972

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2900 Commercial Center Blvd Ste 102
Katy, TX 77494-6724

Mailing address

1880 S Dairy Ashford Rd Ste 106
Houston, TX 77077-4759
Phone (813) 279-2729

Other names 1

  • Praetorian Medical Group 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, 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": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1528576378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774759",
            "telephone_number": "813-279-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 COMMERCIAL CENTER BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946724",
            "telephone_number": "813-279-2729",
            "fax_number": "813-279-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAETORIAN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "303-524-5972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praetorian Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.