Organization Active NPI

Premier Cardiology Clinic PLLC

  • Cardiovascular Disease Physician
  • Webster, TX
National Provider Identifier
1639724164
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREMIER CARDIOLOGY CLINIC PLLC
Practice address
16969 N Texas Ave Ste 100
Webster, TX 77598-4094
Phone
(281) 694-4555
Fax
(271) 694-9555
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Kimberly Phillips
Title
Billing
Phone
(713) 854-2627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

16969 N Texas Ave Ste 100
Webster, TX 77598-4094

Mailing address

PO Box 4897
Houston, TX 77210-4897
Phone (281) 694-4555

Other practice location 1

304 Medic Ln
Alvin, TX 77511-5894
Phone (281) 694-4555

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFFCD

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1639724164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4897",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104897",
            "telephone_number": "281-694-4555",
            "fax_number": "281-694-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16969 N TEXAS AVE STE 100",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984094",
            "telephone_number": "281-694-4555",
            "fax_number": "271-694-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Medic Ln",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775115894",
            "country_code": "US",
            "telephone_number": "281-694-4555",
            "fax_number": "281-694-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CARDIOLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "713-854-2627"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.