NPIMap

Organization Active NPI

Healing Internal Medicine Clinic

  • Internal Medicine Physician
  • Conroe, TX
National Provider Identifier
1639430283
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1957 Issued in TX
Legal business name
HEALING INTERNAL MEDICINE CLINIC
Practice address
601 River Pointe Dr Ste 100
Suite # 100
Conroe, TX 77304-2943
Phone
(936) 446-2227
Fax
(936) 788-2221
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Dr. Adeel Afzal, MD
Title
Sole Member
Phone
(936) 446-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P1957 TX Primary

Addresses

Primary practice location

601 River Pointe Dr Ste 100
Suite # 100
Conroe, TX 77304-2943

Mailing address

601 River Pointe Dr Ste 100
Suite # 100
Conroe, TX 77304-2943
Phone (936) 446-2227

Other practice location 1

20821 Eva St Ste 873B
Montgomery, TX 77356-1976
Phone (936) 446-2227

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AMS Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

20821 Eva St
Ste 873B
Montgomery, TX 77356
Phone (936) 539-0090

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": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1639430283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR STE 100",
            "address_2": "SUITE # 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-446-2227",
            "fax_number": "936-788-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR STE 100",
            "address_2": "SUITE # 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-446-2227",
            "fax_number": "936-788-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20821 Eva St Ste 873B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773561976",
            "country_code": "US",
            "telephone_number": "936-446-2227",
            "fax_number": "936-788-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING INTERNAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "AFZAL",
        "authorized_official_first_name": "ADEEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "936-446-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AMS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "601 River Pointe Dr Ste 100",
            "address_2": "SUITE # 100",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.