Organization Active NPI

East Houston Family Practice PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1629636352
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST HOUSTON FAMILY PRACTICE PA
Practice address
1910 John Ralston Rd
Houston, TX 77013
Phone
(305) 776-8790
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Dr. Yuliet Mora Amador, MD
Title
Owner
Phone
(786) 973-4671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1910 John Ralston Rd
Houston, TX 77013

Mailing address

11910 Dalkey Dr
Houston, TX 77051-3280
Phone (305) 776-8790

National Provider Directory

National Provider Directory

Locations

1910 John Ralston Rd
Ste 100
Houston, TX 77013
Phone (305) 776-8790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1629636352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 DALKEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770513280",
            "telephone_number": "305-776-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 JOHN RALSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77013",
            "telephone_number": "305-776-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HOUSTON FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "MORA AMADOR",
        "authorized_official_first_name": "YULIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-973-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 May 29, 2019; 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.