Organization Active NPI

Carlos C Antonetti

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1649473943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D3707 Issued in TX
Legal business name
CARLOS C ANTONETTI
Practice address
515 W Little York Rd
Ste C
Houston, TX 77091-2496
Phone
(713) 691-4144
Fax
(713) 694-6021
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carlos C Antonetti, MD
Title
Physician
Phone
(713) 691-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D3707 TX Primary

Addresses

Primary practice location

515 W Little York Rd
Ste C
Houston, TX 77091-2496

Mailing address

515 W Little York Rd
Ste C
Houston, TX 77091-2496
Phone (713) 691-4144

National Provider Directory

National Provider Directory

Locations

515 W Little York Rd
Ste C
Houston, TX 77091
Phone (713) 691-4144

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649473943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W LITTLE YORK RD",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912496",
            "telephone_number": "713-691-4144",
            "fax_number": "713-694-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W LITTLE YORK RD",
            "address_2": "STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912496",
            "telephone_number": "713-691-4144",
            "fax_number": "713-694-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS C ANTONETTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONETTI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-691-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D3707",
            "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 Aug 22, 2020; 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.