Organization Active NPI

Paradigm Center for Integrative Medicine, PLLC

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1619384963
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
L6405 Issued in TX
Legal business name
PARADIGM CENTER FOR INTEGRATIVE MEDICINE, PLLC
Practice address
7505 Fannin St Ste 120
Houston, TX 77054-1929
Phone
(713) 337-5100
Fax
(713) 337-5103
NPI assigned
Jul 18, 2014
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. Ronald A. Green
Title
Owner
Phone
(713) 337-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X L6405 TX Primary

Addresses

Primary practice location

7505 Fannin St Ste 120
Houston, TX 77054-1929

Mailing address

7505 Fannin St Ste 120
Houston, TX 77054-1929
Phone (713) 337-5100

National Provider Directory

National Provider Directory

Locations

7905 Fannin St 120
Houston, TX 77054
Phone (713) 337-5000

7905 Fannin St 120
Houston, TX 77054
Phone (713) 337-5000

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1619384963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 FANNIN ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541929",
            "telephone_number": "713-337-5100",
            "fax_number": "713-337-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 FANNIN ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541929",
            "telephone_number": "713-337-5100",
            "fax_number": "713-337-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM CENTER FOR INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-337-5100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "L6405",
            "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 Jul 18, 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.