Active NPI
Nuphysicia Health of Texas
- Community Health Worker
- Houston, TX
National Provider Identifier
1629524376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- G2256
- Legal business name
- NUPHYSICIA HEALTH OF TEXAS
- Practice address
- 4625 Southwest Fwy
Suite 142
Houston, TX 77027-7100 - Phone
- (713) 358-9271
- Fax
- (713) 358-9269
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oscar William Boultinghouse, M.D.
- Title
- Medical Director
- Phone
- (713) 358-9271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | G2256 | TX | Primary |
Addresses
Primary practice location
4625 Southwest Fwy
Suite 142
Houston, TX 77027-7100
Mailing address
4625 Southwest Freeway
Suite 142
Houston, TX 77027
Phone (713) 358-9271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2256 | Other | TX | MEDICAL LISCENSE |
Other names 1
- NHOT
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1096334 | Nuphysicia Health of Texas | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
4625 Southwest Fwy
Ste 142
Houston, TX 77027
Phone (713) 358-9271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1629524376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 SOUTHWEST FREEWAY",
"address_2": "SUITE 142",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77027",
"telephone_number": "713-358-9271",
"fax_number": "713-358-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 SOUTHWEST FWY",
"address_2": "SUITE 142",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277100",
"telephone_number": "713-358-9271",
"fax_number": "713-358-9269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUPHYSICIA HEALTH OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "BOULTINGHOUSE",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "713-358-9271",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "TX",
"license": "G2256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LISCENSE",
"identifier": "G2256",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NHOT",
"code": "5",
"type": "Other Name"
}
]
}
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 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.