Organization Active NPI

Superiormed Texas PLLC

  • General Practice Physician
  • Missouri City, TX
National Provider Identifier
1558008516
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUPERIORMED TEXAS PLLC
Practice address
5201 Highway 6 Ste 800
Missouri City, TX 77459-4379
Phone
(618) 204-0524
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Lauren Gerdes
Title
Operations
Phone
(618) 204-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5201 Highway 6 Ste 800
Missouri City, TX 77459-4379

Mailing address

5201 Highway 6 Ste 800
Missouri City, TX 77459-4379

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1558008516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HIGHWAY 6 STE 800",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HIGHWAY 6 STE 800",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594379",
            "telephone_number": "618-204-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIORMED TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "618-204-0524"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.