Active NPI
Winslow Medical Center, Inc.
- Health Maintenance Organization
- Kingwood, TX
National Provider Identifier
1568652709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- M3356
- Legal business name
- WINSLOW MEDICAL CENTER, INC.
- Doing business as
- Kingwood Urgent Care and Special Clinic
- Practice address
- 2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222 - Phone
- (281) 360-7502
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Rodney Petry, MD
- Title
- Medical Director
- Phone
- (281) 360-7502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | M3356 | TX | Primary |
Addresses
Primary practice location
2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222
Mailing address
2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222
Phone (281) 360-7502
Other names 1
- Kingwood Urgent Care and Special Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Kingwood Urgent Care and Special Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Pasadena, TX
- NPI 1518286418
-
- Family Medicine Physician
- Winslow, IN
- NPI 1619064268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295222400000",
"number": "1568652709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 W LAKE HOUSTON PKWY",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773395222",
"telephone_number": "281-360-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 W LAKE HOUSTON PKWY",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773395222",
"telephone_number": "281-360-7502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINSLOW MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2011-01-17",
"status": "A",
"authorized_official_last_name": "PETRY",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "RODNEY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "281-360-7502",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "TX",
"license": "M3356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingwood Urgent Care and Special Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.