Houston Gynecology and Cosmetic Laser Center PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E7670 Issued in TX

Legal business name

HOUSTON GYNECOLOGY AND COSMETIC LASER CENTER PA

Practice address

21402 Provincial Blvd
Katy, TX 77450-7587

Phone

(281) 398-6161

Fax

(281) 398-6371

NPI assigned

Nov 18, 2009

Last updated

Dec 15, 2009By 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

Edward Mendelson, MD

Title

MD

Phone

(281) 398-6161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1568790236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21402 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "281-398-6161",
            "fax_number": "281-398-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21402 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507587",
            "telephone_number": "281-398-6161",
            "fax_number": "281-398-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON GYNECOLOGY AND COSMETIC LASER CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-398-6161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E7670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Katy, TX
• Providers in Katy, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.