Organization Active NPI

Cadwalder Medical Management

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1619081049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CADWALDER MEDICAL MANAGEMENT
Practice address
1320 Quitman St
Houston, TX 77009-7936
Phone
(713) 227-8246
Fax
(713) 222-0464
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nathan D. Ingram
Title
Administrator
Phone
(713) 227-8246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1320 Quitman St
Houston, TX 77009-7936

Mailing address

1320 Quitman St
Houston, TX 77009-7936
Phone (713) 227-8246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619081049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 QUITMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097936",
            "telephone_number": "713-227-8246",
            "fax_number": "713-222-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 QUITMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097936",
            "telephone_number": "713-227-8246",
            "fax_number": "713-222-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADWALDER MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-227-8246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Aug 22, 2020; 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.