Organization Active NPI

Corporate Medical Clinic,LP

  • Family Medicine Physician
  • Rosenberg, TX
National Provider Identifier
1578729646
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORPORATE MEDICAL CLINIC,LP
Practice address
1229 Corporate Dr
Rosenberg, TX 77471-2135
Phone
(281) 342-3400
Fax
(281) 342-3404
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Donna Kay Ferguson
Title
General Partner
Phone
(832) 244-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1229 Corporate Dr
Rosenberg, TX 77471-2135

Mailing address

1229 Corporate Dr
Rosenberg, TX 77471-2135
Phone (281) 342-3400

Other identifiers 1

IdentifierTypeStateIssuer
0A3548OtherTXCORPORATE MEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1229 Corporate Dr
Rosenberg, TX 77471
Phone (281) 342-1126

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1578729646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 CORPORATE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712135",
            "telephone_number": "281-342-3400",
            "fax_number": "281-342-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 CORPORATE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712135",
            "telephone_number": "281-342-3400",
            "fax_number": "281-342-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE MEDICAL CLINIC,LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "832-244-8865"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE MEDICARE PTAN",
            "identifier": "0A3548",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.