Active NPI
Premier Houston Area Family Medical Clinics
- Family Medicine Physician
- Pearland, TX
National Provider Identifier
1669412250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F5827
- Legal business name
- PREMIER HOUSTON AREA FAMILY MEDICAL CLINICS
- Practice address
- 2211 A E. Broadway
Pearland, TX 77581 - Phone
- (281) 485-6144
- Fax
- (281) 485-6146
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marie D. Mengarelli
- Title
- Credentialing
- Phone
- (713) 946-6081
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F5827 | TX | Primary |
| Cardiovascular Disease Physician | 207RC0000X | F5827 | TX |
Addresses
Primary practice location
2211 A E. Broadway
Pearland, TX 77581
Mailing address
2211 A E. Broadway
Pearland, TX 77581
Phone (281) 485-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080069001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2334 N Main St
Pearland, TX 77581
Phone (281) 997-3336
2506 Westminister St
Pearland, TX 77581
Phone (281) 412-4949
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Houston, TX
- NPI 1053514778
-
- Family Medicine Physician
- Whitehouse, TX
- NPI 1508832999
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1679508485
-
- General Practice Physician
- Pearland, TX
- NPI 1407826027
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1518962588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278892800000",
"number": "1669412250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 A E. BROADWAY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "281-485-6144",
"fax_number": "281-485-6146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 A E. BROADWAY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "281-485-6144",
"fax_number": "281-485-6146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HOUSTON AREA FAMILY MEDICAL CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2010-07-12",
"status": "A",
"authorized_official_last_name": "MENGARELLI",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "713-946-6081",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "F5827",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "F5827",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080069001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.