Organization Active NPI

Elite Doc Family Medicine PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1588025266
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE DOC FAMILY MEDICINE PLLC
Practice address
17200 State Highway 249
Suite 100-a
Houston, TX 77064-1185
Phone
(832) 446-3200
Fax
(832) 446-3108
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Nazmudin Keshwani, M.D.
Title
Medical Director
Phone
(832) 446-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

17200 State Highway 249
Suite 100-a
Houston, TX 77064-1185

Mailing address

17200 State Highway 249
Suite 100-a
Houston, TX 77064-1185
Phone (832) 446-3200

National Provider Directory

National Provider Directory

Locations

17200 State Highway 249
Ste 100A
Houston, TX 77064
Phone (832) 446-3200

2950 Unity Dr
Unit 571328
Houston, TX 77257

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1588025266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 STATE HIGHWAY 249",
            "address_2": "SUITE 100-A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641185",
            "telephone_number": "832-446-3200",
            "fax_number": "832-446-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 STATE HIGHWAY 249",
            "address_2": "SUITE 100-A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641185",
            "telephone_number": "832-446-3200",
            "fax_number": "832-446-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DOC FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "KESHWANI",
        "authorized_official_first_name": "NAZMUDIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-446-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 Mar 9, 2016; 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.