Everest Primary Care MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EVEREST PRIMARY CARE MD PA

Practice address

11626 T C Jester Blvd
Suite 600
Houston, TX 77067

Phone

(281) 747-9700

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Roussel ClementNPI 1710977913

Title

Owner

Phone

(281) 747-9700

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.

• Roussel Clement, MD

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1710977913
  NPD (past) Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1669147401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11626 T C JESTER BLVD",
            "address_2": "SUITE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11626 T C JESTER BLVD",
            "address_2": "SUITE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77067",
            "telephone_number": "281-747-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PRIMARY CARE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "ROUSSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-747-9700"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Blake Everage, LCSW
• Evercare Hospice Inc (Bluevine Hospice)
• Evercare Therapeutic Solution
• Everest Diagnostics
• Everest Foot & Ankle LLC
• Everest Real Estate Investments, LLP
• Everest Real Estate Investments, LLP
• Everest Smile Care, LLC
• Everest TC Jester Pharmacy LLC (Everest Pharmacy & Medical Supply)
• Everest Urgent Care MD PA

• Primary Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.