Organization Active NPI

University Care Plus Weatherhead Pet Center

  • Physiological Laboratory
  • Houston, TX
National Provider Identifier
1649352303
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
UNIVERSITY CARE PLUS WEATHERHEAD PET CENTER
Practice address
6411 Fannin St
Hg009
Houston, TX 77030-1501
Phone
(713) 500-6611
Fax
(713) 500-6615
NPI assigned
Oct 20, 2006
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Andrew R Casas
Title
Vice President
Phone
(832) 325-7317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

6411 Fannin St
Hg009
Houston, TX 77030-1501

Mailing address

PO Box 301365
Dallas, TX 75303-1365
Phone (713) 500-6611

Other identifiers 1

IdentifierTypeStateIssuer
327348401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000312 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406748789 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6411 Fannin St
#9
Houston, TX 77030
Phone (713) 500-6611

6411 Fannin St
Ste HG9
Houston, TX 77030
Phone (713) 500-6611

6431 Fannin St
#1237
Houston, TX 77030

6431 Fannin St
#4256
Houston, TX 77030

Practitioners & affiliated clinicians

Practitioners 4

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1649352303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301365",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031365",
            "telephone_number": "713-500-6611",
            "fax_number": "713-500-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "address_2": "HG009",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6611",
            "fax_number": "713-500-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CARE PLUS WEATHERHEAD PET CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "832-325-7317"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327348401",
            "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 May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.