Organization Active NPI

Southeast Injury Clinic

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1558739359
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHEAST INJURY CLINIC
Practice address
8866 Gulf Fwy Ste 122
Houston, TX 77017-6528
Phone
(832) 834-5096
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Lizz Bui
Title
Owner
Phone
(832) 549-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8866 Gulf Fwy Ste 122
Houston, TX 77017-6528

Mailing address

6219 Irvington Blvd
Houston, TX 77022-5951
Phone (832) 549-7554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1558739359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 IRVINGTON BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225951",
            "telephone_number": "832-549-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8866 GULF FWY STE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176528",
            "telephone_number": "832-834-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST INJURY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "LIZZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-549-7554"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Sep 10, 2015; 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.