Organization Active NPI

Atlantic Care Clinic Inc

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1588890818
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ATLANTIC CARE CLINIC INC
Practice address
6666 Harwin Dr
Suite 170
Houston, TX 77036-2292
Phone
(832) 274-0590
Fax
(281) 762-0330
NPI assigned
Jun 1, 2009
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Adedamola Babajide Adekola
Title
Administrator
Phone
(832) 274-0590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

6666 Harwin Dr
Suite 170
Houston, TX 77036-2292

Mailing address

6666 Harwin Dr
Suite 170
Houston, TX 77036-2292
Phone (832) 274-0590

National Provider Directory

National Provider Directory

Locations

6666 Harwin Dr
Ste 170
Houston, TX 77036
Phone (713) 266-2434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1588890818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 HARWIN DR",
            "address_2": "SUITE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362292",
            "telephone_number": "832-274-0590",
            "fax_number": "281-762-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 HARWIN DR",
            "address_2": "SUITE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362292",
            "telephone_number": "832-274-0590",
            "fax_number": "281-762-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "ADEKOLA",
        "authorized_official_first_name": "ADEDAMOLA",
        "authorized_official_middle_name": "BABAJIDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-274-0590"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "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 Jun 3, 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.