Village Diagnostic Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLAGE DIAGNOSTIC CLINIC, INC.

Practice address

10101 Harwin Dr
Suite # 194
Houston, TX 77036-1687

Phone

(832) 830-8574

Fax

(832) 830-8659

NPI assigned

Sep 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Roman G. Shakhmanov

Title

President

Phone

(832) 830-8574

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Seunghee Oh Fuller, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1235300963
  NPD (past)

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1659622629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DR",
            "address_2": "SUITE # 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361687",
            "telephone_number": "832-830-8574",
            "fax_number": "832-830-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DR",
            "address_2": "SUITE # 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361687",
            "telephone_number": "832-830-8574",
            "fax_number": "832-830-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DIAGNOSTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-30",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "SHAKHMANOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-830-8574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Villafranca, RN,LMFT
• Natalie Marie Villafranco, M.D.
• Village Care, LLC.
• Village Counseling Services
• Village Dermatology PLLC
• Village Family Pharmacy LLC
• Village Family Practice, L.L.P
• Village Fire Department
• Village Life Center Texas
• Village Medical at Home of New Jersey, PC

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.