410 San Antonio Development

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

410 SAN ANTONIO DEVELOPMENT

Practice address

2000 Bagby St
Apt 13430
Houston, TX 77002-8587

Phone

(214) 295-6703

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By 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

Adrianna Villarreal

Title

Billing Manager

Phone

(214) 295-6703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1609279751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BAGBY ST",
            "address_2": "APT 13430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028587",
            "telephone_number": "214-295-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BAGBY ST",
            "address_2": "APT 13430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028587",
            "telephone_number": "214-295-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "410 SAN ANTONIO DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-295-6703"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.