Organization Active NPI

William H. Obenour, Jr., M.D., P.a.

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1629300538
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D7650 Issued in TX
Legal business name
WILLIAM H. OBENOUR, JR., M.D., P.A.
Practice address
6560 Fannin St
Suite 1112
Houston, TX 77030-2761
Phone
(713) 790-1541
Fax
(713) 790-1581
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. William Hypes Obenour Jr., M.D.NPI 1043203987
Title
President, V.Pres., Sec-Treas
Phone
(713) 790-1541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D7650 TX Primary

Addresses

Primary practice location

6560 Fannin St
Suite 1112
Houston, TX 77030-2761

Mailing address

6560 Fannin St
Suite 1112
Houston, TX 77030-2761
Phone (713) 790-1541

Other identifiers 1

IdentifierTypeStateIssuer
035287401MedicaidTX

National Provider Directory

National Provider Directory

Locations

6560 Fannin St
Ste 1112
Houston, TX 77030
Phone (281) 426-0909

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1629300538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-790-1541",
            "fax_number": "713-790-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-790-1541",
            "fax_number": "713-790-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H. OBENOUR, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "OBENOUR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HYPES",
        "authorized_official_title_or_position": "PRESIDENT, V.PRES., SEC-TREAS",
        "authorized_official_telephone_number": "713-790-1541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "D7650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035287401",
            "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 Feb 2, 2010; 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.