Organization Active NPI

Southwest Family Clinic PC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1619285996
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHWEST FAMILY CLINIC PC
Practice address
3003 S Loop W Ste 555
Houston, TX 77054-1378
Phone
(713) 433-4536
Fax
(713) 433-6708
NPI assigned
Sep 20, 2010
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
E. Chinyere Nwanna, DNP, APRN, FNP-CNPI 1073746566
Title
Provider
Phone
(713) 433-4536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3003 S Loop W Ste 555
Houston, TX 77054-1378

Mailing address

3003 S Loop W Ste 555
Houston, TX 77054-1378
Phone (713) 433-4563

Other identifiers 1

IdentifierTypeStateIssuer
282911101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101001279 TX Part B Supplier - Clinic/Group Practice 3870787021 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2028189Southwest Family Clinic PC3003 South Loop W, Suite 555, Houston, TX 77054Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory

Locations

3003 S Loop W
Ste 555
Houston, TX 77054
Phone (713) 433-4536

Practitioners & affiliated clinicians

Practitioners 3

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1619285996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541378",
            "telephone_number": "713-433-4563",
            "fax_number": "713-433-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541378",
            "telephone_number": "713-433-4536",
            "fax_number": "713-433-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "NWANNA",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "CHINYERE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "713-433-4536",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282911101",
            "state": "TX"
        }
    ],
    "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 Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.