Pin Oak Medical Clinic of Katy

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F6235 Issued in TX

Legal business name

PIN OAK MEDICAL CLINIC OF KATY

Doing business as

Pin Oak Clinic

Practice address

19255 Park Row Ste 203
Houston, TX 77084-7310

Phone

(281) 646-8450

Fax

(888) 880-7753

NPI assigned

Oct 9, 2006

Last updated

Jun 13, 2019By 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

Dr. Lynn R Gibbs, MD

Title

Principal

Phone

(281) 646-8450

Specialties & licenses 1

Addresses

Other names 1

• Pin Oak Clinic Doing business as

Tax ID family

Pin Oak Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pin Oak Medical Clinic of Katy

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558594515
  NPD tax ID

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1548357767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "281-646-8450",
            "fax_number": "888-880-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "281-646-8450",
            "fax_number": "888-880-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIN OAK MEDICAL CLINIC OF KATY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "281-646-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pin Oak Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pin Oak Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pima Health PLLC (Houston Surgeons PLLC)
• Eric Pimentel
• Jennifer Pimentel, APRN
• Jesus Javier Pimentel, M.D.
• Pin Oak Caregivers, LLC
• Pin Oak Medical Clinic of Katy
• Pin Oak Surgical, PLLC
• Sergio Pina Oviedo, M.D.
• Erika Pina
• Hector Pina, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.