Organization Active NPI

Multispecialty Clinic of Kingwood LLC

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1538427620
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MULTISPECIALTY CLINIC OF KINGWOOD LLC
Practice address
25219 Pineglen Terrace Dr
Spring, TX 77389-4999
Phone
(832) 768-0703
Fax
(832) 717-6919
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Mustapha Kibirige, MD
Title
Owner
Phone
(832) 768-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

25219 Pineglen Terrace Dr
Spring, TX 77389-4999

Mailing address

25219 Pineglen Terrace Dr
Spring, TX 77389-4999
Phone (832) 768-0703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1538427620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25219 PINEGLEN TERRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894999",
            "telephone_number": "832-768-0703",
            "fax_number": "832-717-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25219 PINEGLEN TERRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894999",
            "telephone_number": "832-768-0703",
            "fax_number": "832-717-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTISPECIALTY CLINIC OF KINGWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "KIBIRIGE",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-768-0703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.