NPIMap

Organization Active NPI

Houston Medical Clinic LLC

  • Legal Medicine
  • Houston, TX
National Provider Identifier
1578828927
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
HOUSTON MEDICAL CLINIC LLC
Practice address
9644 Court Glen Dr
Suite a
Houston, TX 77099-2541
Phone
(281) 530-3400
Fax
(281) 530-3603
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Mr. Sahar Mahmoodpour, MBR
Title
Owner
Phone
(832) 283-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

9644 Court Glen Dr
Suite a
Houston, TX 77099-2541

Mailing address

9644 Court Glen Dr
Suite a
Houston, TX 77099-2541
Phone (281) 530-3400

National Provider Directory

National Provider Directory

Locations

9644 Court Glen Dr
Ste A
Houston, TX 77099
Phone (281) 530-3400

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1578828927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 COURT GLEN DR",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992541",
            "telephone_number": "281-530-3400",
            "fax_number": "281-530-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 COURT GLEN DR",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992541",
            "telephone_number": "281-530-3400",
            "fax_number": "281-530-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "MAHMOODPOUR",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-283-6264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "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 Jul 11, 2012; 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.